Individual
MS. CRYSTAL NICOLE BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
402 HARRIS AVE, RAEFORD, NC 28376-3112
(910) 875-5590
Mailing address
230 TWIN CREEK DR, RAEFORD, NC 28376-8094
(910) 603-4195
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014637
NC
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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