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Individual

MS. JOHANNA L LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
1028 E JUNEAU AVE, 206, MILWAUKEE, WI 53202-2933
(414) 350-3718
(414) 278-5923
Mailing address
1028 E JUNEAU AVE, 206, MILWAUKEE, WI 53202-2933
(414) 350-3718
(414) 278-5923

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1560 - 125
WI

Other

Enumeration date
05/25/2011
Last updated
05/25/2011
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