| Doctor Name: | MRS. TANNIELLE MARIE QUIGLEY |
| NPI Number: | 1790186948 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CSW |
| License Number: | 8693626-3502 |
| Business Practice Address: | 770 E St. George Blvd St. George, UT - 84770 |
| Business Phone Number: | 4356740984 |
| Business Fax Number: | 4356740584 |
| Mailing Address: | 770 E St. George Blvd, ST. GEORGE |
| State: | UT |
| Postal Code: | 84770 |
| Phone Number: | 4356740984 |
| Fax Number: | 4356740584 |
| NPI Enumeration Date: | 09/08/2014 |
| NPI Last Update Date: | 10/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 8693626-3502 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |