Individual
SOPHIE EMMA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Mailing address
4057 SPRINGMIST DR, HUDSONVILLE, MI 49426-6403
(517) 803-5220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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