Individual
MRS. LORI LOONEY MUSSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1501 18TH ST, SPRINGFIELD, OR 97477-3499
(541) 953-9975
(541) 344-5255
Mailing address
2122 KIMBERLY CIR, EUGENE, OR 97405-5820
(541) 953-9975
(541) 344-5255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3371
OR
Other
Enumeration date
02/15/2007
Last updated
08/16/2007
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