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1700955077
WAYNE KING
PHOENIX, AZ
NPI
1700955077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LPC0012)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
Mr. WAYNE KING LPC0012
3306 W CATALINA DR
PHOENIX, AZ 85017-5291
Phone number: 602-353-0703
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Mailing Address
Mr. WAYNE KING LPC0012
2017 N 7TH ST
PHOENIX, AZ 85006-2102
Phone number: 602-452-4684
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