Individual
AILEEN R LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
68576 D ST, CATHEDRAL CITY, CA 92234-1808
(760) 399-7749
Mailing address
68576 D ST, CATHEDRAL CITY, CA 92234-1808
(760) 399-7749
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114225
CA
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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