| Doctor Name: | WILLIAM R QUIRK |
| NPI Number: | 1104810233 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CSW |
| License Number: | 4957 |
| Business Practice Address: | 401 Western Ln Suite A Irmo, SC - 290637953 |
| Business Phone Number: | 8033977521 |
| Business Fax Number: | 8036674963 |
| Mailing Address: | Po Box 3086, IRMO |
| State: | SC |
| Postal Code: | 290634011 |
| Phone Number: | 8033977521 |
| Fax Number: | 8036674963 |
| NPI Enumeration Date: | 09/05/2005 |
| NPI Last Update Date: | 08/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 4957 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |