Individual
MARIAH LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1709 MOON ST NE, ALBUQUERQUE, NM 87112-3935
(505) 271-0329
Mailing address
6128 MURCIA AVE NW, ALBUQUERQUE, NM 87114-5852
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-10635
NM
Other
Enumeration date
03/20/2014
Last updated
12/01/2025
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