Individual
BETTY JANE QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9650 KENWORTHY ST, EL PASO, TX 79924-6011
(888) 365-6271
Mailing address
5504 MILRAY DR, EL PASO, TX 79932-3183
(915) 217-5226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
53242
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53242
LICENSE
TX
Enumeration date
09/05/2019
Last updated
09/05/2019
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