Provider Information for 1265923197
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DANIEL JAMES QUINN LICSW
Other Names:Professional Name:Mr. DANIEL JAMES QUINN LICSWSex: Male
NPI: 1265923197
Last Updated: 2024-06-11
Certification Date: 2024-06-04
Certification Date: 2024-06-04
Details
| Name | Value | ||||||||||||||||
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| NPI | 1265923197 | ||||||||||||||||
| Enumeration Date | 2018-05-26 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | P.O. BOX 762 HADDAM, CT 06438 United States Phone: 475-254-2298 | Fax: | ||||||||||||||||
| Primary Practice Address | 30 OLD KINGS HWY S DARIEN, CT 06820-4551 United States Phone: 475-254-2298 | Fax: | ||||||||||||||||
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