Organization
ALISA LOPEZ, LICENSED CLINICAL SOCIAL WORKER GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA G LOPEZ (PRESIDENT)
(805) 995-9393
Entity
Organization
Contact information
Practice address
515 E OCEAN AVE STE E, LOMPOC, CA 93436-6926
(805) 995-9393
Mailing address
PO BOX 3015, LOMPOC, CA 93438-3015
(805) 995-9393
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
10/16/2025
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