Individual
AURA HERRERA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1556 S SULTANA AVE, ONTARIO, CA 91761-4238
(909) 418-6923
Mailing address
9916 CENTRAL AVE, MONTCLAIR, CA 91763-3201
(909) 450-2502
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
67386
CA
1041C0700X
Clinical Social Worker
Primary
84862
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/16/2015
Last updated
06/27/2023
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