Individual
BREEANN NICHOLE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21201 NEW HAMPSHIRE AVE, BROOKEVILLE, MD 20833-1802
(805) 861-6713
Mailing address
21201 NEW HAMPSHIRE AVE, BROOKEVILLE, MD 20833-1802
(805) 861-6713
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26590
MD
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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