Individual
CARLA LOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
525 FAIRGROUND AVE, HIGGINSVILLE, MO 64037-1711
(660) 229-0655
Mailing address
525 FAIRGROUND AVE, HIGGINSVILLE, MO 64037-1711
(660) 229-0655
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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