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Organization

THERAPEUTIC HEALTH AND WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SOFIA LORAN PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
(203) 802-8443
Entity
Organization

Contact information

Practice address
30 HAZEL TER STE 20, WOODBRIDGE, CT 06525-2240
(203) 293-7763
(203) 693-4613
Mailing address
30 HAZEL TER STE 20, WOODBRIDGE, CT 06525-2240
(203) 293-7763
(203) 693-4613

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
03/07/2019
Last updated
04/07/2023
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