Individual
ANGELICA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6501 4TH ST NW STE E-2, LOS RANCHOS, NM 87107-5800
(505) 573-9230
Mailing address
PO BOX 292, ESPANOLA, NM 87532-0292
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2026-0769
NM
Other
Enumeration date
07/20/2026
Last updated
07/21/2026
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