Individual
JESSICA R QUALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 E JACKSON ST, PENSACOLA, FL 32501-4337
(850) 619-0973
Mailing address
1500 E JACKSON ST, PENSACOLA, FL 32501-4337
(850) 619-0973
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW17401
FL
Other
Enumeration date
07/13/2020
Last updated
03/03/2025
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