Individual
MENCIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 SOUTH ST, HUDSON, MA 01749-2205
(508) 298-1640
Mailing address
24 RIVERDALE RD, DEDHAM, MA 02026-6903
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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