Individual
ALEXANDRIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
880 E END RD, HOMER, AK 99603-7201
(907) 226-2228
Mailing address
880 E END RD, HOMER, AK 99603-7201
(907) 226-2228
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
091266-1
NY
1041C0700X
Clinical Social Worker
089420
NY
1041C0700X
Clinical Social Worker
Primary
167565
AK
Other
Enumeration date
06/12/2014
Last updated
02/20/2023
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