Individual
DR. JULIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCSW
Contact information
Practice address
5106 HAMPTON AVE, STE 208, SAINT LOUIS, MO 63109-3115
(314) 704-6770
Mailing address
5106 HAMPTON AVE STE 208, SAINT LOUIS, MO 63109-3115
(314) 704-6770
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2013015045
MO
Other
Enumeration date
10/31/2016
Last updated
01/02/2019
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