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Individual

EMILY NICOLE LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LISW

Contact information

Practice address
118 3RD AVE SE STE 301, CEDAR RAPIDS, IA 52401-1408
(319) 536-6394
Mailing address
118 3RD AVE SE STE 301, CEDAR RAPIDS, IA 52401-1408
(319) 536-6394

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
108148
CA
1041C0700X
Clinical Social Worker
Primary
114747
IA

Other

Enumeration date
07/31/2018
Last updated
08/08/2023
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