Individual
MAURICIO LOPEZ-MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5501 WILSHIRE AVE NE, ALBUQUERQUE, NM 87113-1950
(505) 218-1552
Mailing address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-5006
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-09261
NM
1041C0700X
Clinical Social Worker
Primary
C-10318
NM
Other
Enumeration date
02/19/2014
Last updated
08/01/2022
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