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Individual
MS. MARY HELEN LOPEZ
Active
Individual
MS. MARY HELEN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21575
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11491864
CAQH
CA
01
—
5619048
FIRST HEALTH
CA
01
—
597A62525
BC LIFE & HEALTH INS CO
CA
01
—
LCS215750
BLUE SHIELD OF CA
CA
01
—
LCS215751
BLUE SHIELD OF CA
CA
Enumeration date
12/04/2006
Last updated
07/08/2007
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