Organization
FOUND MARBLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSANA LOPEZ HAUGH LCSW (BEHAVIORAL HEALTH PROVIDER)
(804) 677-1674
Entity
Organization
Contact information
Practice address
10 DOE VALLEY DR, COPPER HILL, VA 24079-1103
(804) 677-1674
Mailing address
10 DOE VALLEY DR, COPPER HILL, VA 24079-1103
(804) 677-1674
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30017438240003
—
VA
Enumeration date
12/15/2023
Last updated
04/22/2024
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