Individual
LILIAN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
1141 E 3900 S STE 250, SALT LAKE CITY, UT 84124-1252
(888) 949-4864
Mailing address
4460 S. HIGHLAND DR., SALT LAKE CITY, UT 84124-3503
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
87912493503
UT
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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