| Doctor Name: | TRACY KRISTINA QUINTANAR |
| NPI Number: | 1265703649 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSSW |
| License Number: | CSW003903 |
| Business Practice Address: | 2481 Demere Rd St Simons Island, GA - 315221601 |
| Business Phone Number: | 9125061041 |
| Business Fax Number: | 9126344747 |
| Mailing Address: | 2481 Demere Rd, ST SIMONS ISLAND |
| State: | GA |
| Postal Code: | 315221601 |
| Phone Number: | 9125061041 |
| Fax Number: | 9126344747 |
| NPI Enumeration Date: | 01/18/2012 |
| NPI Last Update Date: | 01/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CSW003903 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |