Organization
INSIEMI PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER QUAGLIARIELLO LCSW, LISW-CP (CLINICAL SOCIAL WORKER)
(631) 806-0919
Entity
Organization
Contact information
Practice address
508 DEWY MEADOWS DR, TAYLORS, SC 29687-3573
(631) 806-0919
Mailing address
508 DEWY MEADOWS DR, TAYLORS, SC 29687-3573
(631) 806-0919
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/16/2023
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