Individual
BIANCA SOLEDAD LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
611 CHELSEA AVE, SAINT LOUIS, MO 63122-3029
(217) 602-1808
Mailing address
611 CHELSEA AVE, SAINT LOUIS, MO 63122-3029
(217) 602-1808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2022047481
MO
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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