Individual
MR. CARL QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
700 FRANKLIN ST, SOCORRO, NM 87801-4666
(505) 559-0946
Mailing address
3 VALLE DE PAZ CIR, BELEN, NM 87002-7565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-12154
NM
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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