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Individual

MS. MICHELLE MIRIAM QUAYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COUNSELOR

Contact information

Practice address
1205 W 43RD ST, AUSTIN, TX 78756-3301
(512) 200-3017
Mailing address
5213 DOE VALLEY LN, AUSTIN, TX 78759-7103

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
88865
TX

Other

Enumeration date
10/18/2022
Last updated
10/18/2022
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