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1518111996
JACQUELINE MARY QUINN-TAN
SOUTH BEND, IN
NPI
1518111996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IN 20041167A)
Enumeration Date
2008-11-11
Last Update Date
2021-08-25
Business Address
Dr. JACQUELINE MARY QUINN-TAN Psy.D.
1000 S MICHIGAN ST
SOUTH BEND, IN 46601-3426
Phone number: 574-235-5408
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Mailing Address
Dr. JACQUELINE MARY QUINN-TAN Psy.D.
1540 TRINITY PL
MISHAWAKA, IN 46545-5006
Phone number: 574-272-9000
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