Individual
MARBELLA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2619 CONGRESS ST, BELLWOOD, IL 60104-2405
(708) 234-8660
Mailing address
2619 CONGRESS ST, BELLWOOD, IL 60104-2405
(708) 234-8660
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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