Individual
ADELITA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 FRIEDMAN AVE, LAS VEGAS, NM 87701-4231
(505) 454-5100
(505) 454-0397
Mailing address
700 FRIEDMAN AVE, LAS VEGAS, NM 87701-4231
(505) 454-5100
(505) 454-0397
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
F-09394
NM
1041C0700X
Clinical Social Worker
Primary
X-09394
NM
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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