Individual
JENNIFER MARIE QUAGLIARIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 ORCHARD PARK DR, GREENVILLE, SC 29615-3531
(864) 729-6606
(855) 617-4426
Mailing address
6416 OLD WINTER GARDEN RD, ORLANDO, FL 32835-1348
(407) 751-7288
(407) 770-0661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12719
SC
1041C0700X
Clinical Social Worker
56209
TX
1041C0700X
Clinical Social Worker
C011784
NC
Other
Enumeration date
09/04/2014
Last updated
01/13/2020
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