Most Relevant Information
Provider Data
| NPI Number: | 1003663790 |
| Provider Name: | SARAH ELIZABETH LOOMIS LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 123833 |
Most Important Dates
| Enumeration Date: | 05/01/2024 |
| Last Updated: | 06/25/2024 |
Provider Practice Location
165 MAIN ST STE A
CORTLAND
NY
130453191
Practice Location Phone/Fax
| Phone: | 6077530234 |
| Fax: |
Provider Mailing Location
165 MAIN ST STE A
CORTLAND
NY
130453191
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |