Individual
SIRENA LOFTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 OAK POND ST, RUSKIN, FL 33570-7988
(813) 569-9418
Mailing address
1411 OAK POND ST, RUSKIN, FL 33570-7988
(813) 569-9418
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
IMH22182
FL
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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