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Individual

TWILA DEE QUAID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
1732 FRONT ST, KEESEVILLE, NY 12944-3618
(518) 534-1249
Mailing address
PO BOX 61, LEWIS, NY 12950-0061
(518) 534-1249

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007710-1
NYSED.GOV
NY
Enumeration date
08/23/2018
Last updated
11/19/2018
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