Myra Dina Lopez, ACSW
NPI #1023572583 in Victorville, California
Provider Information
- NPI Number
- 1023572583
- Entity Type
- Individual
- Name
- Myra Dina Lopez, ACSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- ACSW
- Enumeration Date
- Jan 29, 2019
- Last Updated
- Feb 13, 2021
Practice Location
- Address
- 15434 W SAGE ST
- City
- Victorville
- State
- California
- ZIP Code
- 92392-9751
- Phone
- (760) 843-0506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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