Individual
SUSAN P LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
566 NEWFIELD AVE APT 9, STAMFORD, CT 06905-3300
(804) 363-0621
Mailing address
566 NEWFIELD AVE APT 9, STAMFORD, CT 06905-3300
(804) 363-0621
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6904
CT
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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