Individual
BILLI JEAN LOPEZ
Active
Individual
BILLI JEAN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S, L.M.T.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2002497-SUPV
OH
225700000X
Massage Therapist
13980
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0295931
—
OH
01
—
203361378-00
BWC
OH
Enumeration date
04/19/2007
Last updated
10/23/2024
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