Individual
AUSANAE QUARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2415 24TH ST, PORT HURON, MI 48060-6414
(810) 488-8840
Mailing address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801120712
MI
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/24/2023
Last updated
09/02/2025
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