Individual
ANA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTERS
Contact information
Practice address
39 EAST AVE, PAWTUCKET, RI 02860-4003
(401) 722-0081
(401) 312-0139
Mailing address
39 EAST AVE, PAWTUCKET, RI 02860-4003
(401) 312-5244
(401) 312-0139
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW02014
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
02/13/2014
Last updated
05/30/2017
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