Individual
STACEY L LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11000 LAKE CITY WAY NE, SEATTLE, WA 98125-6748
(206) 545-2349
(206) 634-3596
Mailing address
11000 LAKE CITY WAY NE, SEATTLE, WA 98125-6748
(206) 545-2349
(206) 634-3596
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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