Individual
BRYAN QUIGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
18 2ND AVE SE, STANLEY, ND 58784-0039
(701) 628-2975
(701) 628-3175
Mailing address
PO BOX 39, 18 2ND AVE SE, STANLEY, ND 58784-0039
(701) 628-2925
(701) 628-3175
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000079007
—
ND
01
—
1365
SW LICENSE
ND
Enumeration date
03/31/2014
Last updated
03/31/2014
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