Individual
ANDRES LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACSW
Contact information
Practice address
4590 ALLSTATE DR, RIVERSIDE, CA 92501-1702
(909) 599-1227
Mailing address
4590 ALLSTATE DR, RIVERSIDE, CA 92501-1702
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
83119
CA
Other
Enumeration date
06/05/2017
Last updated
06/27/2023
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