Individual
KAMRON BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1720 N KING ST, HAMPTON, VA 23669-1910
(757) 224-0537
Mailing address
912 GODWIN ST, PORTSMOUTH, VA 23704-4014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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