Individual
MS. MARY VARGAS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2920 N 34TH DR, PHOENIX, AZ 85017-5250
(602) 764-0818
Mailing address
2920 N 34TH DR, PHOENIX, AZ 85017-5250
(602) 764-0818
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
LCSW-11509
AZ
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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