Individual
MRS. DIANE MCQUADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 968-2060
Mailing address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2001004052
MO
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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