Individual
SAMUEL W LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
914 E BROADWAY, 2ND FLOOR, LOUISVILLE, KY 40204-1037
(502) 589-8600
(502) 589-8771
Mailing address
10101 LINN STATION RD, LOUISVILLE, KY 40223-3848
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253699
KY
Other
Enumeration date
04/26/2013
Last updated
11/06/2018
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