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Individual

AMBER LOPES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
32670 HIGHWAY 20 UNIT 2, FORT BRAGG, CA 95437-5708
(707) 964-1136
Mailing address
PO BOX 2077, UKIAH, CA 95482-2077
(707) 467-2010

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1639727985
CA

Other

Enumeration date
08/29/2019
Last updated
06/21/2023
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