Individual
KARINA LOPEZ- DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 RICHLAND AVE BLDG A, CERES, CA 95307
(209) 300-8800
Mailing address
3020 WILLOWBROOK DR APT 405, MERCED, CA 95348-1362
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
ASW84311
CA
Other
Enumeration date
05/11/2018
Last updated
08/08/2018
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