Individual
MAE IRIS QUICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
311 CHURCH AVENUE, HIGH POINT, NC 27262-4807
(336) 882-6572
Mailing address
311 CHURCH AVENUE, HIGH POINT, NC 27262-4807
(336) 882-6572
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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