Individual
SHAQUANA CUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 COLONIAL CENTER PKWY, STE 100N, ROSWELL, GA 30076-4899
(954) 603-7885
Mailing address
500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 33441-1817
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZCS0819950
BLUE CROSS BLUE SHIELD
SC
Enumeration date
12/07/2015
Last updated
12/07/2015
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