Individual
MS. MARIEKA DENISE LOSINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W
Contact information
Practice address
145 SOUTH HOLLY ST, STE A, MEDFORD, OR 97501
(541) 773-5664
(541) 773-5667
Mailing address
145 SOUTH HOLLY ST., STE A, MEDFORD, OR 97501
(541) 773-5664
(541) 773-5667
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2497
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L2497
LICENSE NUMBER
OR
Enumeration date
02/19/2007
Last updated
08/10/2012
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