NPI 1093549446

Allison King

Practitioner Foster Care Agency Traverse City, MI

Practice location

Address: 3935 E Long Lake Rd, Traverse City, MI 49685-8876
Phone: (231) 883-6304

Registered specialties

Foster Care Agency Primary

Agencies Taxonomy 253J00000X Licence AS280378535 (MI)

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Registry record

NPI: 1093549446
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2024
Record last updated: 28 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.