Individual
CHAIRA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5676 RIVERDALE AVE STE 202, BRONX, NY 10471-2100
(718) 796-5300
Mailing address
2304 GRAND AVE APT 1B, BRONX, NY 10468-7017
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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