Individual
CAMILLA RENEE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3404 N LECANTO HWY STE D, BEVERLY HILLS, FL 34465-3569
(352) 419-4856
(352) 464-6300
Mailing address
3404 N LECANTO HWY STE D, BEVERLY HILLS, FL 34465-3569
(352) 419-4856
(352) 464-6300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CO
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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