Individual
MARICRUZ LARA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
6512 S MCCARRAN BLVD STE A, RENO, NV 89509-6141
(775) 788-7600
Mailing address
6512 S MCCARRAN BLVD STE A, RENO, NV 89509-6141
(775) 788-7600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7627-S
NV
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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