Individual
ACACIA S O'QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3211 JEFFERSON ST, SAN DIEGO, CA 92110-4424
(619) 682-4012
Mailing address
1624 MISSOURI ST, SAN DIEGO, CA 92109-3155
(707) 407-6199
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS23927
CA
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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