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Mary C Lohse, LCSW
Mental Health Counselor in Port St Lucie, Florida
NPI 1619017456

Mary C Lohse is a Mental Health Counselor based in Port St Lucie, FL and is specialized in Mental Health. Mary C Lohse practices in Port St Lucie, FL and has the professional credentials of LCSW. The NPI Number for Mary C Lohse is 1619017456 and holds a License No. (Florida).

The current practice location address for Mary C Lohse is 4626 Sw Ott Ct, Port St Lucie, FL and can be reached out via phone at 772-224-6610 and via fax at 772-237-4812.

Location: 4626 Sw Ott Ct, Port St Lucie, FL, 34953-6643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619017456
Provider Name
Mary C Lohse
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
4626 Sw Ott Ct, Port St Lucie, FL, 34953-6643
Phone Number
772-224-6610
Fax Number
772-237-4812
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DA330A 01 FL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
4626 Sw Ott Ct
City
Port St Lucie
State
Florida
Zip
34953-6643
Phone Number
772-224-6610
Fax Number
772-237-4812
person
Provider Business Mailing Address Details
Address
4626 Sw Ott Ct
City
Port St Lucie
State
Florida
Zip
34953-6643
Phone Number
772-224-6610
Fax Number
772-237-4812
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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