Individual
MR. MARIO REY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0002
(785) 350-3111
Mailing address
2257 SE MOOREFIELD CT, TECUMSEH, KS 66542-9462
(785) 969-9222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4214
KS
Other
Enumeration date
02/26/2007
Last updated
02/18/2023
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