Provider Information for 1710991567
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KRISTEN MCQUARY LCSW
Other Names:Former Name:KRISTEN MARIE PEELER ASWSex: Female
NPI: 1710991567
Last Updated: 2016-01-05
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1710991567 | ||||||||||||
| Enumeration Date | 2006-07-28 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2021 YARNELL WAY ELK GROVE, CA 95758-7117 United States Phone: 916-671-9029 | Fax: | ||||||||||||
| Primary Practice Address | 25 CADILLAC DR SUITE 212 SACRAMENTO, CA 95825-8349 United States Phone: 916-671-9029 | Fax:916-979-6110 | ||||||||||||
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