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General NPI Number Information
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NPI Number | 1255899332
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Entity Type | Individual
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Provider Name | JOANNA LYNN QUAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/07/2019
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 1000 G ST STE 125
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City | SACRAMENTO
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State | CA
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Zip | 95814-0894
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Country | US
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Telephone | 888-588-8595
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Fax |
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Provider Business Mailing Address
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Address Line | 2206 BRIDGEPORT PATH DR
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City | MISSOURI CITY
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State | TX
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Zip | 77459-3275
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Country | US
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Telephone | 925-216-2184
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 29382
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 22935
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License Number State | TX
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