Lohse, Mary C

Lohse, Mary C is an individual health care provider with primary practice located at 4626 Sw Ott Ct , Port St Lucie FL 34953-6643. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Lohse, Mary C can be contacted via phone (772) 224-6610.

Contact Information

Primary practice address
4626 Sw Ott Ct Port St Lucie FL 34953-6643
Phone: (772) 224-6610
Fax: (772) 237-4812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1619017456
LBN Legal business name Lohse, Mary C
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Nov 18th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619017456 NPPES
Florida Other DA330A MEDICARE PTAN

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