Individual
D'ANDRE QUICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2073 LAWRENCE DR, DE PERE, WI 54115-9106
(920) 351-3027
Mailing address
2073 LAWRENCE DR, DE PERE, WI 54115-9106
(920) 351-3027
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
11/11/2020
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