Whalio Doctors

NPI 1568197028

Josita Therese Harris Quidachay, LMSWLCSWE

Practitioner Clinical Social Worker Yigo, GU

Practice location

Address
Bonnins Blvd Bldg 21028, Yigo, GU 96929
Phone
(671) 362-4704
Mailing address
254 Abg Unit 14021, Apo, AP 96543

Registered specialties (2)

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LCSW-E-017 (GU)
Social Worker
Behavioral Health & Social Service Providers Taxonomy 104100000X Licence LMSW-E-007 (GU)

Registry record

NPI
1568197028
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Jul 2022
Record last updated
19 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.