Individual provider · Type 1 NPI

Loretta King

Child & Adolescent Psychiatric/Mental Health Registered Nurse · Detroit, MI

NPI number 1689182032 Active

Practice location

17321 Telegraph Rd
Detroit, MI 48219-3132

Mailing address

16801 Glenmore
Redford, MI 48240-2702

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary 163WP0807X4704276794 (MI)

Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1689182032

Loretta King's National Provider Identifier is 1689182032, issued on Jan 19, 2018. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Detroit, MI. The record was last updated on Jan 19, 2018.