Individual
MS. JEANNIE LOU LOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSWCC
Contact information
Practice address
204 WATER ST, ELLSWORTH, ME 04605-2038
(207) 667-2061
(207) 667-8624
Mailing address
PO BOX 32, KELLEYTOWN RD., SEAL COVE, ME 04674-0032
(207) 244-3528
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC8135
ME
Other
Enumeration date
04/26/2007
Last updated
07/09/2007
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