Individual
MRS. JENNIFER TERESE GULLO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
315 METAIRIE RD STE 201, METAIRIE, LA 70005-4337
(504) 905-8310
Mailing address
315 METAIRIE RD STE 201, METAIRIE, LA 70005-4337
(504) 905-8310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8253
LA
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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