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Individual

MRS. AMY WARD QUINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., IMF

Contact information

Practice address
22471 ASPAN STREET, LAKE FOREST, CA 92630
(949) 458-2715
(949) 458-3583
Mailing address
22471 ASPAN ST, LAKE FOREST, CA 92630-1642
(949) 458-2715
(949) 458-3583

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMF 67108
CA
101YM0800X
Mental Health Counselor

Other

Enumeration date
03/06/2007
Last updated
06/30/2011
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