Individual
CRYSTAL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6214 RIVERDALE AVE APT 1A, BRONX, NY 10471-1032
(917) 428-2251
Mailing address
2186 GRAND CONCOURSE APT 4G, BRONX, NY 10457-2009
(917) 428-2251
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
109921
NY
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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