Individual
JUSTYCE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
710 DOUGLAS AVE, LAS VEGAS, NM 87701-3947
(056) 171-1805
Mailing address
PO BOX 45681, RIO RANCHO, NM 87174-5681
(505) 226-1960
(505) 672-7769
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
11/02/2022
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