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Individual

MS. JOEY BLUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
822B PASEO DEL PUBELO SUR, TAOS, NM 87571
(505) 758-9511
(505) 758-9511
Mailing address
PO BOX 1840, RANCHOS DE TAOS, NM 87557-1840
(505) 758-9511
(505) 758-9511

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-4401
NM

Other

Enumeration date
08/02/2006
Last updated
07/08/2007
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