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Individual

GEORGI NICOLE LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
4000 W METROPOLITAN DR STE 120, ORANGE, CA 92868-3504
(714) 972-3700
Mailing address
PO BOX 5211, ORANGE, CA 92863-5211
(714) 972-3700

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
114778
CA

Other

Enumeration date
07/11/2023
Last updated
10/29/2025
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