Individual
TINA MARIE QUARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
8005 W 110TH ST, SUITE 204, OVERLAND PARK, KS 66210
(818) 536-8899
(913) 283-8537
Mailing address
8005 W 110TH ST, SUITE 204, OVERLAND PARK, KS 66210
(818) 536-8899
(913) 283-8537
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
06425
KS
104100000X
Social Worker
11488
KS
1041C0700X
Clinical Social Worker
06425
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201344520A
—
KS
Enumeration date
09/04/2021
Last updated
08/12/2024
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