Most Relevant Information
Provider Data
| NPI Number: | 1003584848 |
| Provider Name: | TINA MARIE QUARLES LSCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 11488 |
Most Important Dates
| Enumeration Date: | 09/04/2021 |
| Last Updated: | 08/12/2024 |
Provider Practice Location
8005 W 110TH ST
SUITE 204
OVERLAND PARK
KS
66210
Practice Location Phone/Fax
| Phone: | 8185368899 |
| Fax: | 9132838537 |
Provider Mailing Location
8005 W 110TH ST
SUITE 204
OVERLAND PARK
KS
66210
Provider Mailing Phone/Fax
| Phone: | 8185368899 |
| Fax: | 9132838537 |