Individual
MRS. SUSANA LOPEZ SIERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
122 SW CRESCENT AVE, PORT SAINT LUCIE, FL 34984-4327
(561) 373-0880
Mailing address
122 SW CRESCENT AVE, PORT SAINT LUCIE, FL 34984-4327
(561) 373-0880
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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