Organization
EDWARD J. LOFTUS MA LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD JOSEPH LOFTUS MA LLP (PSYCHOLOGIST LIMITED LICENSE)
(231) 398-0349
Entity
Organization
Contact information
Practice address
50 FILER ST STE 210E, MANISTEE, MI 49660-2787
(231) 398-0934
Mailing address
50 FILER ST STE 210E, MANISTEE, MI 49660-2787
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6301006424
MI
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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