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Individual

TANYA JUSTYNE QUILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2324 W JOPPA RD STE 220, LUTHERVILLE TIMONIUM, MD 21093-4618
(434) 770-3844
(410) 583-2949
Mailing address
220 N ZAPATA HWY STE 11, 75 MB, LAREDO, TX 78043-4427
(443) 477-0384
(410) 583-2949

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
04599
MD

Other

Enumeration date
09/08/2009
Last updated
01/04/2023
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