Individual
BRENDA M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
440 N BROAD ST, PHILADELPHIA, PA 19130-4090
(215) 882-9813
Mailing address
440 N BROAD ST, PHILADELPHIA, PA 19130-4090
(215) 882-9813
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW024684
PA
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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