Individual
MRS. BRISTOL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
PO BOX 7003, FULLERTON, CA 92834-7003
(714) 248-6024
Mailing address
PO BOX 7003, FULLERTON, CA 92834-7003
(714) 248-6024
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
91011
CA
Other
Enumeration date
09/08/2014
Last updated
09/18/2024
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