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Individual

KENZI LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
744 SOUTH ST # 1117, PHILADELPHIA, PA 19147-2023
(857) 383-7082
Mailing address
744 SOUTH ST # 1117, PHILADELPHIA, PA 19147-2023

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
101019
NY
1041C0700X
Clinical Social Worker
44SC06409400
NJ
1041C0700X
Clinical Social Worker
Primary
CW024885
PA

Other

Enumeration date
11/09/2022
Last updated
10/23/2025
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