Individual
BROOKE ELISE HALLUM QUINLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2625 WILSON ST, EUREKA, CA 95503-4829
(707) 443-5601
Mailing address
2625 WILSON ST, EUREKA, CA 95503-4829
(707) 443-5601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS24224
CA
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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