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Individual

MARYANA I. LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
(816) 404-6745
Mailing address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
(816) 404-6745

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2024022704
MO

Other

Enumeration date
07/11/2024
Last updated
07/11/2024
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