Individual
GISELLA SUZANNE QUIGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
89 HOMER DR, ST MARIES, ID 83861-5078
(208) 245-5427
(208) 245-5425
Mailing address
89 HOMER DR, ST MARIES, ID 83861-5078
(208) 245-5427
(208) 245-5425
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-30022
ID
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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