Individual
JOSEPH E. LOOS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1515 E BROADWAY ST, MISSOULA, MT 59802-4929
(406) 728-2662
(406) 728-2879
Mailing address
1515 E BROADWAY ST, MISSOULA, MT 59802-4929
(406) 728-2662
(406) 728-2879
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
260
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0503608
—
MT
Enumeration date
05/11/2007
Last updated
07/08/2007
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