Individual
DAVID C LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
620 S GROVE ST STE 105, MARSHALL, TX 75670-5295
(903) 702-7900
(903) 702-7904
Mailing address
1 SAINT MARY PL, SHREVEPORT, LA 71101-4343
(318) 687-4812
(318) 687-4847
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
7309
LA
1041C0700X
Clinical Social Worker
Primary
S06120
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06120
TDSHS
TX
Enumeration date
02/20/2007
Last updated
07/07/2022
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