Provider Demographics
NPI:1255777819
Name:LOUGHRIN, JANINE ELIZABETH RIGG (MSW)
Entity type:Individual
Prefix:MRS
First Name:JANINE
Middle Name:ELIZABETH RIGG
Last Name:LOUGHRIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:JANINE
Other - Middle Name:ELIZABETH RIGG
Other - Last Name:RHODES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9123 Q AVE
Mailing Address - Street 2:
Mailing Address - City:MATTAWAN
Mailing Address - State:MI
Mailing Address - Zip Code:49071-8422
Mailing Address - Country:US
Mailing Address - Phone:269-350-0269
Mailing Address - Fax:269-375-1301
Practice Address - Street 1:9123 Q AVE
Practice Address - Street 2:
Practice Address - City:MATTAWAN
Practice Address - State:MI
Practice Address - Zip Code:49071-8422
Practice Address - Country:US
Practice Address - Phone:269-350-0269
Practice Address - Fax:269-375-1301
Is Sole Proprietor?:No
Enumeration Date:2013-05-22
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802072319104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker