Individual
MRS. CARLY LOONIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13002 115TH AVE, SOUTH OZONE PARK, NY 11420-2122
(718) 641-8933
(718) 641-8931
Mailing address
27385 SPRUCE LN, EVERGREEN, CO 80439-5475
(516) 220-0133
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
079824
NY
1041C0700X
Clinical Social Worker
Primary
0804681
NY
Other
Enumeration date
12/02/2009
Last updated
11/15/2022
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