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Individual

AARON E LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
765 N DETROIT ST, XENIA, OH 45385-1960
(937) 505-1877
(800) 480-7578
Mailing address
420 APOLLO DR, SIDNEY, OH 45365-1516
(937) 284-2150

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S1701467
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0379910
OH
Enumeration date
10/18/2019
Last updated
10/15/2025
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