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Individual

JAMIE MARIE LOOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
102 GOLD AVE SW # 256, ALBUQUERQUE, NM 87102-3335
(417) 501-9423
Mailing address
2131 W REPUBLIC RD PMB 569, SPRINGFIELD, MO 65807

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2023010365
MO
103TC0700X
Clinical Psychologist
Primary
PSY-2023-0062
NM

Other

Enumeration date
04/19/2023
Last updated
05/08/2026
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