Individual
SANDRA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
4215 SW 72ND AVE, MIAMI, FL 33155-4510
(305) 377-3297
(305) 377-3854
Mailing address
11031 NE 6TH AVE, MIAMI, FL 33161-7182
(305) 398-6100
(305) 757-4465
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
CBHCMS100001
FL
Other
Enumeration date
05/26/2008
Last updated
01/19/2021
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