Individual
STACY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
300 FOXCROFT AVE STE 100B-6, MARTINSBURG, WV 25401-5341
(304) 240-2698
Mailing address
235 S. WATER ST, MARTINSBURG, WV 25401-0000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
BP00944341
WV
1041C0700X
Clinical Social Worker
Primary
BP00944341
WV
Other
Enumeration date
12/30/2014
Last updated
02/28/2022
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