Individual
AUTUMN QUILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
601 S STATE ROAD 7, PLANTATION, FL 33317-4054
(954) 321-2296
Mailing address
601 S STATE ROAD 7, PLANTATION, FL 33317-4054
(954) 321-2296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW7581
FL
Other
Enumeration date
02/06/2007
Last updated
04/16/2008
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