Individual
MRS. AMANDA GUTIERREZ-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4011 BARBARA LOOP SE STE 103, RIO RANCHO, NM 87124-1040
(505) 793-0453
Mailing address
2532 DON GREGORIO RD SW, ALBUQUERQUE, NM 87105-5414
(505) 793-0453
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-11405
NM
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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