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1760658314
JASON CHARLES KING
EVANSTON, IL
NPI
1760658314
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071007455)
Enumeration Date
2008-05-05
Last Update Date
2008-08-18
Business Address
Dr. JASON CHARLES KING Psy.D.
1599 MAPLE AVE
EVANSTON, IL 60201-4367
Phone number: 708-699-1670
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Mailing Address
Dr. JASON CHARLES KING Psy.D.
1137 MAPLE AVE 2E
EVANSTON, IL 60202-1262
Phone number: 708-699-1670
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