Individual
MRS. JENNIFER LYNN LOAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2335
(734) 769-7100
(734) 769-7412
Mailing address
5066 LAING DR, TECUMSEH, MI 49286-9549
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801087776
MI
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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