Quicksall, Larry Edward

Quicksall, Larry Edward is an individual health care provider with primary practice located at 2401 W Main St , Marion IL 62959-1188. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Quicksall, Larry Edward can be contacted via phone (618) 997-5311.

Contact Information

Primary practice address
2401 W Main St Marion IL 62959-1188
Phone: (618) 997-5311
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 145-005599 Illinois

Profile Details

NPI number 1306092820
LBN Legal business name Quicksall, Larry Edward
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2008
Last updated Aug 15th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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