Individual
TARA BREMER QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11930 MENAUL BLVD NE STE 101A, ALBUQUERQUE, NM 87112-2478
(505) 453-5089
Mailing address
11930 MENAUL BLVD NE STE 101A, ALBUQUERQUE, NM 87112-2478
(505) 453-5089
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-08082
NM
Other
Enumeration date
11/06/2012
Last updated
02/23/2017
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