Individual
BRUCE QUINLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2360 JOSE CIR S, JACKSONVILLE, FL 32217-3547
(843) 670-4404
Mailing address
2360 JOSE CIR S, JACKSONVILLE, FL 32217-3547
(843) 670-4404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH 10784
FL
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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