Individual
JACQUELINE NOEMI LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 WESTFIELD AVE, ELIZABETH, NJ 07208-1325
(908) 352-8858
Mailing address
655 WESTFIELD AVE, ELIZABETH, NJ 07208-1325
(908) 352-8858
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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