Individual
ANTONIA D LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1631 MOURNING DOVE LN, LORENA, TX 76655-3140
(254) 723-8217
Mailing address
PO BOX 5314, WACO, TX 76708-0314
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
08404
TX
Other
Enumeration date
03/25/2007
Last updated
07/08/2007
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