Individual
ANADELI LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 LAKEVIEW DR., SUITE 124, KINGWOOD, TX 77339
(936) 978-0080
Mailing address
1030 BOOKER T WASHINGTON ST, CONROE, TX 77301-4328
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
64183
TX
1041C0700X
Clinical Social Worker
Primary
64183
TX
Other
Enumeration date
10/25/2021
Last updated
11/26/2024
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