Individual
CESAR AUGUSTO LOARCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4404 STATE ROUTE 55, SWAN LAKE, NY 12283
(845) 292-6880
(845) 292-4652
Mailing address
PO BOX 340, SWAN LAKE, NY 12783-0340
(845) 292-6880
(845) 292-4652
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
069754
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069754
DEPARTMENT OF EDUCATION
NY
Enumeration date
07/13/2006
Last updated
07/08/2007
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