Individual
CONSTANCE AUSTIN COATES QUEZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21264-0010
(410) 955-5080
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6340
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01788
MD
Other
Enumeration date
04/26/2023
Last updated
10/17/2024
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