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1700011509
SUSAN LOUISE QUILLMAN
SAN DIEGO, CA
NPI
1700011509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 23851)
Enumeration Date
2009-05-21
Last Update Date
2009-05-21
Business Address
-- SUSAN LOUISE QUILLMAN LCSW
2801 CAMINO DEL RIO S 201
SAN DIEGO, CA 92108-3800
Phone number: 619-804-9401
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Mailing Address
-- SUSAN LOUISE QUILLMAN LCSW
PO BOX 7118
SAN DIEGO, CA 92167-0118
Phone number: 619-804-9401
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