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1033713839
CRYSTAL NICOLE BLUE
RAEFORD, NC
NPI
1033713839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P014637)
Enumeration Date
2020-11-23
Last Update Date
2020-11-23
Business Address
Ms. CRYSTAL NICOLE BLUE LCSWA
402 HARRIS AVE
RAEFORD, NC 28376-3112
Phone number: 910-875-5590
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Mailing Address
Ms. CRYSTAL NICOLE BLUE LCSWA
230 TWIN CREEK DR
RAEFORD, NC 28376-8094
Phone number: 910-603-4195
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