Queen Blue
Social Worker · Clarksdale, MS
NPI number
1679037659
Practice location
122 Desoto Ave Ste 109Clarksdale, MS 38614-4440
- Phone
- (662) 592-5397
NPI record
- NPI
- 1679037659
- Entity type
- Individual (Type 1)
- Enumeration date
- January 24, 2019
- Last updated
- January 24, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X |
— | — |
Mailing address
860 E River Pl Ste 100Jackson, MS 39202-3442
- Phone
- (662) 592-5397
About Queen Blue
Queen Blue is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 122 Desoto Ave Ste 109, Clarksdale, MS 38614-4440. The NPI number 1679037659 was assigned on January 24, 2019 and the record was last updated on January 24, 2019.
Frequently asked questions
What is the NPI number of Queen Blue?
The NPI number is 1679037659.
What is the phone number of Queen Blue?
The phone number listed for the practice location is (662) 592-5397.
Where is Queen Blue located?
122 Desoto Ave Ste 109, Clarksdale, MS 38614-4440.
What is the taxonomy code for Queen Blue?
The primary taxonomy code is 104100000X – Social Worker.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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