Individual
JENNIFER COLLEEN QUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
28 MILL STREET CENTRAL, MARLBOROUGH, MA 01752-3169
(508) 786-1580
(508) 628-6929
Mailing address
1201 NORWEST DR, NORWOOD, MA 02062-1432
(518) 795-8675
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
237451423
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568541670
—
MA
Enumeration date
12/19/2017
Last updated
12/19/2017
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