Individual
CAROL R LOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, RPT
Contact information
Practice address
125 ORCHARD DR, NICHOLASVILLE, KY 40356-2690
(859) 359-2135
Mailing address
125 ORCHARD DR, NICHOLASVILLE, KY 40356-2690
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3391
KY
Other
Enumeration date
01/28/2014
Last updated
03/20/2018
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