Individual
MRS. CORINNE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QP,MSW,LCSW-A
Contact information
Practice address
1823 CHAPEL HILL RD, DURHAM, NC 27707-1100
(631) 747-3416
Mailing address
602 YOUNG FOREST DR, WAKE FOREST, NC 27587-7177
(631) 747-3416
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P016561
NC
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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