Individual
NATALIE QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 S MAPLE ST STE 1, CARROLL, IA 51401-3100
(712) 792-2991
Mailing address
1464 KIRKWOOD AVE, JEFFERSON, IA 50129-7073
(661) 839-2254
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
118034
IA
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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