Individual
LATONIA S GRISSOM-BLUE (POLLARD)
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW- CLINICAL
Contact information
Practice address
1105 PURDUE AVE, CLOVIS, NM 88101-5342
(806) 598-1114
Mailing address
1105 PURDUE AVE, CLOVIS, NM 88101-5342
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-08035
NM
1041C0700X
Clinical Social Worker
Primary
6801119307
MI
1041S0200X
School Social Worker
M-08035
NM
Other
Enumeration date
09/26/2012
Last updated
05/11/2026
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