Individual
MANUEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2881 S VALLEY VIEW BLVD STE 1, LAS VEGAS, NV 89102-0145
(702) 922-7015
Mailing address
3324 MARIONETTE AVE, LAS VEGAS, NV 89101-1876
(702) 466-5776
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11693-C
NV
Other
Enumeration date
06/06/2022
Last updated
05/15/2025
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