Individual
AEMIR XOCHITL LOPEZ MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
225 N MAIN ST, BRISTOL, CT 06010-4926
(203) 424-3760
Mailing address
301 COMMONS PARK S UNIT 511, STAMFORD, CT 06902-7086
(203) 424-3760
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9384
CT
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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