Individual
MS. AMI GRACE QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, L.C.S. W., PPS
Contact information
Practice address
181 TANK FARM RD STE 120, SAN LUIS OBISPO, CA 93401-7082
(805) 342-2573
(805) 542-0867
Mailing address
181 TANK FARM RD STE 120, SAN LUIS OBISPO, CA 93401-7082
(805) 234-2573
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20561
CA
Other
Enumeration date
02/26/2007
Last updated
08/26/2019
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