Individual
KATHY M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5627 N 62ND DR, GLENDALE, AZ 85301-5729
(602) 526-9350
Mailing address
5627 N 62ND DR, GLENDALE, AZ 85301-5729
(602) 526-9350
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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