Individual
ERIN BURDETTE QUIGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11485 STATE ROUTE 28, LEESBURG, OH 45135-9615
(937) 763-0547
Mailing address
11485 STATE ROUTE 28, LEESBURG, OH 45135-9615
(937) 763-0547
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
OH
Other
Enumeration date
09/30/2020
Last updated
10/20/2020
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