Individual
MS. CHERYL EMILY LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LMP
Contact information
Practice address
2204 PACIFIC AVE N, LONG BEACH, WA 98631-3300
(360) 642-3787
(360) 642-2096
Mailing address
2204 PACIFIC AVE N, LONG BEACH, WA 98640-1260
(360) 642-8737
(360) 642-2096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW 60073162
WA
225700000X
Massage Therapist
MA 00010320
WA
Other
Enumeration date
09/23/2011
Last updated
08/28/2014
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