Individual
PETER LOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
1 RICHMOND SQ, SUITE 141C, PROVIDENCE, RI 02906-5139
(401) 578-3477
Mailing address
PO BOX 397, EAST LYME, CT 06333-0397
(401) 578-3477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
000041
CT
1041C0700X
Clinical Social Worker
Primary
ISW01315
RI
Other
Enumeration date
07/24/2015
Last updated
08/11/2015
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