Matthew Scott Queen, MS
Case Manager/Care Coordinator in Ammon, ID. Individual provider (NPI-1).
NPI number1235448168
StatusActive
Last updated in NPPESSep 27, 2010
Details
- NPI
- 1235448168
- Entity type
- Individual (NPI-1)
- Name
- Matthew Scott Queen
- Credential
- MS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2010
- Last updated
- Sep 27, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
2325 Fieldstone DrAmmon, ID 83401-5852
Phone 208-419-9810
Mailing address
2325 Fieldstone DrAmmon, ID 83401-5852
Phone 208-419-9810
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