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Individual
MR. EDWARD QUINTANA
Active
Individual
MR. EDWARD QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
75749
CA
1041C0700X
Clinical Social Worker
ASW34053
CA
Other
Enumeration date
09/23/2009
Last updated
02/19/2019
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