Individual
CAROL ANN QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
632 GIBSON RD, MEBANE, NC 27302-9130
(760) 267-7495
Mailing address
632 GIBSON RD, MEBANE, NC 27302-9130
(760) 267-7495
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C016290
NC
Other
Enumeration date
08/30/2021
Last updated
09/25/2023
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