Individual
DYANNA AH QUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 MEDICINE WAY, PERIDOT, AZ 85542
(928) 475-1500
(928) 475-1525
Mailing address
P.O BOX 0, SAN CARLOS, AZ 85550
(928) 475-1500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17333
AZ
1041C0700X
Clinical Social Worker
5431
ND
Other
Enumeration date
03/28/2017
Last updated
04/21/2020
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