Individual
LEYDI LOPEZ ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(715) 613-1390
Mailing address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(715) 613-1390
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29487
MN
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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