Individual
ANDREA MICHELLE QUICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
20 CHESTNUT ST, VERNON, CT 06066-3222
(860) 938-8557
(860) 926-0064
Mailing address
20 CHESTNUT ST, VERNON, CT 06066-3222
(860) 938-8557
(860) 926-0064
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007823
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
05/06/2010
Last updated
10/06/2020
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