Provider Demographics
NPI:1548834088
Name:KING, DAPHNE (EDD)
Entity type:Individual
Prefix:DR
First Name:DAPHNE
Middle Name:
Last Name:KING
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21155 WHITFIELD PL STE 202
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-7277
Mailing Address - Country:US
Mailing Address - Phone:571-375-0668
Mailing Address - Fax:
Practice Address - Street 1:21155 WHITFIELD PL STE 202
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-7277
Practice Address - Country:US
Practice Address - Phone:571-375-0668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical