Individual
JASON CHRISTIAN LOOTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
EAST HIGHWAY 18, IHS COMPOUND, PINE RIDGE, SD 57770-1201
(605) 867-3091
(605) 867-3268
Mailing address
PO BOX 1201, PINE RIDGE, SD 57770-1201
(605) 867-3091
(605) 867-3268
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801091169
MI
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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