Individual
SOPHIE LOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPSC
Contact information
Practice address
7007 PEZZI RD, STOCKTON, CA 95215-9113
(209) 603-2178
Mailing address
7007 PEZZI RD, STOCKTON, CA 95215-9113
(209) 603-2178
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
200081874
CA
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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