Most Relevant Information
Provider Data
| NPI Number: | 1003144007 |
| Provider Name: | CARLY LOONIE LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 079824 |
Most Important Dates
| Enumeration Date: | 12/02/2009 |
| Last Updated: | 11/15/2022 |
Provider Practice Location
13002 115TH AVE
SOUTH OZONE PARK
NY
114202122
Practice Location Phone/Fax
| Phone: | 7186418933 |
| Fax: | 7186418931 |
Provider Mailing Location
27385 SPRUCE LN
EVERGREEN
CO
804395475
Provider Mailing Phone/Fax
| Phone: | 5162200133 |
| Fax: |