Individual
STACEY QUINLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 PAR LN, MAIDSVILLE, WV 26541-8186
(724) 516-6172
Mailing address
14 PAR LN, MAIDSVILLE, WV 26541-8186
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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