Individual
MRS. CANDACE KAY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
ARIZONA HIGHWAY 264 & HIGHWAY 191, GANADO, AZ 86505-0457
(928) 755-4500
(928) 755-4659
Mailing address
PO BOX 457, GANADO, AZ 86505-0457
(928) 755-4500
(928) 755-4659
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-13901
AZ
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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