Individual
ISHMAEL I LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1601 E YANDELL DR, EL PASO, TX 79902-5677
(915) 887-3416
Mailing address
201 E MAIN DR STE 600, EL PASO, TX 79901-1385
(915) 887-3410
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104446
TX
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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