White, Quenderrion Marquez

White, Quenderrion Marquez is an individual health care provider with primary practice located at 124 S Main St , Jonesboro GA 30236-3599. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. White, Quenderrion Marquez can be contacted via phone (404) 695-2195.

Contact Information

Primary practice address
124 S Main St Jonesboro GA 30236-3599
Phone: (404) 695-2195
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X Georgia

Profile Details

NPI number 1144794710
LBN Legal business name White, Quenderrion Marquez
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2019
Last updated Jan 18th, 2019 - about 5 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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