Individual
MRS. CARMELA PRADO QUINTANILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6317 FITZHUGH DR, CORPUS CHRISTI, TX 78414-3005
(361) 442-8178
Mailing address
PO BOX 81082, CORPUS CHRISTI, TX 78468-1082
(361) 442-8178
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25868
TX
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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