Individual
MRS. GAIL L NESTOR-LOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-1368
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13601
SC
1041C0700X
Clinical Social Worker
149-006171
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001606572
BCBSIL
IL
Enumeration date
06/03/2007
Last updated
03/23/2021
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