Individual
JOSE LUIS LOPEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LCSW
Contact information
Practice address
344 W DAYTON ST APT 303, MADISON, WI 53703-2553
(414) 391-5971
Mailing address
344 W DAYTON ST APT 303, MADISON, WI 53703-2553
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12752-123
WI
Other
Enumeration date
02/11/2026
Last updated
03/03/2026
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