Individual
STEPHENIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1310 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4300
(616) 288-3732
Mailing address
96 MONROE CENTER ST NW STE 300, GRAND RAPIDS, MI 49503-2947
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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