Individual
DENNIS D LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CBHCMS
Contact information
Practice address
2804 DEL PRADO BLVD S STE 106, CAPE CORAL, FL 33904-7219
(239) 540-9555
(239) 549-0875
Mailing address
2804 DEL PRADO BLVD S STE 106, CAPE CORAL, FL 33904-7219
(239) 540-9555
(239) 549-0875
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106616400
—
FL
Enumeration date
07/08/2021
Last updated
07/08/2021
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