Individual
KIMBERLY IVONNE RIOS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1950 ROSWELL RD APT 6B2, MARIETTA, GA 30068-5013
(470) 835-7880
Mailing address
1065 WOODGATE RD, RINGGOLD, GA 30736-5050
(470) 835-7880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
131061
CA
1041C0700X
Clinical Social Worker
MSW010814
GA
Other
Enumeration date
10/03/2022
Last updated
07/03/2025
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