Organization
MARTA LOPEZ LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION
Active
Other names
Theraputic Educational Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTA LOPEZ LCSW (LICENSED CLINICAL SOCIAL WORKER)
(909) 268-4659
Entity
Organization
Contact information
Practice address
157 N GLENDORA AVE, SUITE 221, GLENDORA, CA 91741-3383
(909) 268-4649
Mailing address
157 N GLENDORA AVE, SUITE 221, GLENDORA, CA 91741-3383
(909) 268-4659
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
22768
CA
Other
Enumeration date
05/21/2008
Last updated
12/26/2013
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