Individual
MS. GINA QUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., L.S.W.
Contact information
Practice address
1492 W FLAGLER ST, MIAMI, FL 33135-2209
(305) 541-5864
Mailing address
2570 CENTERGATE DR, MIRAMAR, FL 33025-7256
(954) 907-6387
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0022496
OH
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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