Individual
LESLIE MADAHI LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1932 LEWIS AVE, ROCKVILLE, MD 20851-2222
(301) 525-1519
Mailing address
1932 LEWIS AVE, ROCKVILLE, MD 20851-2222
(301) 525-1519
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47301136400
—
MD
Enumeration date
09/03/2020
Last updated
09/03/2020
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