Individual
ANA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 GENE CASH RD, CAMPBELLSVILLE, KY 42718-4908
(270) 465-7768
Mailing address
603 E DIXIE AVE, ELIZABETHTOWN, KY 42701-1033
(817) 842-7180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
258793
KY
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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