Individual
MS. KATHRYN CORNWELL QUIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
805 TIJERAS AVE NW, ALBUQUERQUE, NM 87102
(505) 242-1010
(505) 242-1551
Mailing address
314 VALENCIA DRIVE NE, ALBUQUERQUE, NM 87108
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-04631
NM
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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