Individual
BRENDA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
651 S MAGNOLIA AVE, RIALTO, CA 92376-7018
(909) 633-9689
Mailing address
651 S MAGNOLIA AVE, RIALTO, CA 92376-7018
(909) 633-9689
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW93455
CA
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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