Individual
MS. MARY THERESE QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W., L.I.S.W.
Contact information
Practice address
PMS-RRFHC, 184 UNSER BOULEVARD, RIO RANCHO, NM 87124
(505) 896-0928
Mailing address
PMS-RRFHC, 184 UNSER BOULEVARD, RIO RANCHO, NM 87124
(505) 896-0928
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05143
NM
Other
Enumeration date
07/04/2006
Last updated
07/19/2007
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