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Bella Viviano

Certified Support Brokers

LOQW Broker assisting an individual with the interview process.

Paul Elliott

LOQW provides Support Brokerage services to individuals requiring additional information or assistance in securing supports and services identified in their individual plan. Support Brokerage is a service provided through the self-directed supports program. 


Self-directed supports is an option for service delivery for individuals who wish to exercise more choice, control and authority over their waiver supports. 

111 South 1oth
Hannibal, MO 63401


(573) 221-5991

iviviano@loqw.com 

Agency Support Broker

645 Clinic Rd.

Hannibal, MO 63401


(573) 719-3486

pelliott@loqw.com 

Mark Wouters

Learning Opportunities/Quality Works, Inc.

215 E. McPherson St.

Kirksville, MO 63501


(660) 627-1749

mwouters@loqw.com 

Visit the Missouri Department of Mental Health site for more information on Self Directed Supports. If interested, speak with your service coordinator.