Individual
BROCKLIN QUALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
11870 GRAND PARK AVE APT 333, NORTH BETHESDA, MD 20852-8692
(202) 560-0921
Mailing address
11870 GRAND PARK AVE APT 333, NORTH BETHESDA, MD 20852-8692
(202) 560-0921
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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