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Individual

NINA CLAIRE LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
2840 W CLAY ST, SAINT CHARLES, MO 63301-2536
(636) 946-6100
Mailing address
6023 WATERMAN BLVD APT 1E, SAINT LOUIS, MO 63112-1324
(393) 242-0863

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2025034633
MO

Other

Enumeration date
09/30/2025
Last updated
09/30/2025
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