Individual
NICHOLAS LOEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
434 TURNER DR, DURANGO, CO 81303-8986
(301) 602-8745
Mailing address
620 SIERRA DR, DURANGO, CO 81301-8319
(301) 602-8745
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0009926027
CO
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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