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Individual
MS. SHERI BLUE
Active
Individual
MS. SHERI BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,CADC1,LMT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11-12-06
OR
1041C0700X
Clinical Social Worker
Primary
L6079
OR
225700000X
Massage Therapist
5842
OR
Other
Enumeration date
03/16/2007
Last updated
05/22/2019
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