Individual
EDWARD QUEZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W, ACSW
Contact information
Practice address
1830 S CENTRAL ST, VISALIA, CA 93277-4418
(559) 730-2969
(559) 730-2991
Mailing address
1830 S CENTRAL ST, VISALIA, CA 93277-4418
(559) 730-2969
(559) 730-2991
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
114419
CA
Other
Enumeration date
04/10/2023
Last updated
10/19/2023
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