Individual
AMY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5284 ADOLFO RD STE 100, CAMARILLO, CA 93012-6790
(805) 289-0120
Mailing address
5284 ADOLFO RD STE 100, CAMARILLO, CA 93012-6790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
89983
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2013
Last updated
09/20/2021
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