Individual
MS. ELAINE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
250 CATALONIA AVE STE 305, CORAL GABLES, FL 33134-6730
(856) 979-8253
Mailing address
776 CARTERET CT, MOUNT LAUREL, NJ 08054-3205
(856) 979-8253
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
44SC05819600
NJ
1041C0700X
Clinical Social Worker
Primary
SW13272
FL
1041S0200X
School Social Worker
SW 13272
FL
Other
Enumeration date
11/11/2015
Last updated
03/20/2021
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