Individual
LESLIE LASHEA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4210 MEADOWLARK LN SE, RIO RANCHO, NM 87124-1021
(505) 560-9355
Mailing address
6008 TIERRA ST NE APT F, ALBUQUERQUE, NM 87111-7019
(760) 658-3472
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2023-0610
NM
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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