Individual
JANETTE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1450 CHAPEL STREET, CHILDRENS HOSPITAL IOP/POP, NEW HAVEN, CT 06514
(203) 688-2195
(203) 688-2395
Mailing address
20 YORK STREET SOCIAL WORK, EP10-635, NEW HAVEN, CT 06510
(203) 688-2195
(203) 688-2395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7934
CT
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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