Individual
ANSELMA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241-5042
(888) 714-1927
Mailing address
13875 SILVERBELL LN, FISHERS, IN 46038-5332
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IN
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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