Individual
MALERI NICOLE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10522 GAZELLE CLF, SAN ANTONIO, TX 78245-2991
(210) 273-4576
Mailing address
10522 GAZELLE CLF, SAN ANTONIO, TX 78245-2991
(210) 273-4576
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
66811
TX
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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