Individual
AMANDA QUIRIN
Active
Individual
AMANDA QUIRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
ISW13983
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
ISW13983
FL
101YM0800X
Mental Health Counselor
ISW13983
FL
104100000X
Social Worker
ISW13983
FL
1041C0700X
Clinical Social Worker
Primary
ISW13983
FL
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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