Individual
AURA VANESSA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9518 NW 53RD ST, SUNRISE, FL 33351-7755
(305) 801-4817
Mailing address
9518 NW 53RD ST, SUNRISE, FL 33351-7755
(305) 801-4817
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW10141
FL
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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