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Individual

SUSAN MARIE LOAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-MHSP

Contact information

Practice address
620 GALLATIN PIKE S, MADISON, TN 37115-4013
(615) 460-4300
(615) 460-4302
Mailing address
1802 LINCOYA BAY DR, NASHVILLE, TN 37214-2771
(615) 594-8202

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2760
TN
101YP2500X
Professional Counselor
Primary
2760
TN

Other

Enumeration date
07/31/2012
Last updated
10/30/2023
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