NICOLE LOOSE

CORVALLIS, OR
NPI1184397622
Professional NameNICOLE DEGENNARO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: OR  21-QMHA-R-1327)
Enumeration Date2021-07-30
Last Update Date2021-07-30
Business Address
Mrs. NICOLE LOOSE QMHA
530 NW 27TH ST
CORVALLIS, OR 97330-5298
Phone number: 541-766-6835
Mailing Address
Mrs. NICOLE LOOSE QMHA
PO BOX 579
CORVALLIS, OR 97339-0579
Phone number: 541-766-6715