Individual
MICHELLE QUIRKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6611 GULTON CT NE, ALBUQUERQUE, NM 87109-4407
(505) 296-3965
(505) 323-9430
Mailing address
2916 ESPANOLA ST NE, ALBUQUERQUE, NM 87110-3525
(602) 308-9541
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
T-0160271
NM
Other
Enumeration date
08/28/2013
Last updated
09/19/2014
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