Individual
DANIELA LOPEZ VIVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5635 W FORT ST, DETROIT, MI 48209-3154
(313) 849-3920
Mailing address
5635 W FORT ST, DETROIT, MI 48209-3154
(313) 849-3920
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
6801117935
MI
Other
Enumeration date
12/26/2019
Last updated
09/13/2024
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