Individual
BELEN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
483 W SEED FARM RD, SACATON, AZ 85147-5000
(520) 562-1200
Mailing address
483 W SEED FARM RD, SACATON, AZ 85147-5000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LMSW-21592
AZ
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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