Individual
MR. JOSE D. LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
INTERN
Contact information
Practice address
344 E 100 S STE 301, SALT LAKE CITY, UT 84111-1727
(801) 322-4257
Mailing address
1443 W STEWART CIR, SALT LAKE CITY, UT 84104-3445
(801) 977-9798
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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