Organization
SOCIAL WORK CONSULTANT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOUISE LOADHOLT MSW (CLINICAL SOCIAL WORKER)
(917) 783-1406
Entity
Organization
Contact information
Practice address
420 MARKLEN LOOP, POLK CITY, FL 33868-9035
(917) 783-1406
Mailing address
420 MARKLEN LOOP, POLK CITY, FL 33868-9035
(917) 783-1406
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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