Individual
EVELYN SUSAN LOEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
27 NATHANIEL BLVD, DELMAR, NY 12054-1800
(518) 439-7996
Mailing address
27 NATHANIEL BLVD, DELMAR, NY 12054-1800
(518) 439-7996
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
R21247
NY
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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