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Individual
MISS KRISTA DANIELLE MCQUILLIAN
Active
Individual
MISS KRISTA DANIELLE MCQUILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6801105172
MI
101YM0800X
Mental Health Counselor
6801105172
MI
1041C0700X
Clinical Social Worker
Primary
6801105172
MI
1041S0200X
School Social Worker
6801105172
MI
247200000X
Other Technician
—
—
Other
Enumeration date
07/25/2016
Last updated
10/30/2019
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