Individual
SHEILA QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 SUSSEX ST # 19, PORT JERVIS, NY 12771-2430
(845) 856-6344
(845) 856-4091
Mailing address
161 DARIN RD, WARWICK, NY 10990-4024
(845) 304-2296
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34633
NY
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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