Individual
MRS. ALISANDRA RENEE VASQUEZ-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1499 HUNTINGTON DR STE 101, SOUTH PASADENA, CA 91030-5444
(626) 403-4370
Mailing address
2629 CLARENDON AVE, 2ND FLOOR, HUNTINGTON PARK, CA 90255-4119
(323) 584-3700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
74247
CA
Other
Enumeration date
12/05/2012
Last updated
05/30/2023
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