Individual
MS. THERESA QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.R., L.M.F.T.
Contact information
Practice address
17340 W 12 MILE RD, #105, SOUTHFIELD, MI 48076-2122
(248) 933-7029
Mailing address
31182 W RUTLAND ST, BEVERLY HILLS, MI 48025-5428
(248) 885-8162
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101006377
MI
Other
Enumeration date
03/21/2007
Last updated
03/02/2017
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