Individual
KRISTY DEPREE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 PAISANO ST NE, ALBUQUERQUE, NM 87123-1453
(505) 266-0110
Mailing address
933 MADEIRA DR SE, ALBUQUERQUE, NM 87108-3617
(505) 804-9322
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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