Individual
NAOMI M. LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1400 SUDDERTH DR, RUIDOSO, NM 88345-6103
(575) 630-0571
(575) 630-0574
Mailing address
1007 IVYDALE, LAS CRUCES, NM 88005
(575) 312-4889
(575) 647-9063
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-08715
NM
Other
Enumeration date
08/19/2014
Last updated
01/17/2019
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