MRS. Mirta Lopez, LCSW
NPI #1295132330 in Montclair, New Jersey
Provider Information
- NPI Number
- 1295132330
- Entity Type
- Individual
- Name
- MRS. Mirta Lopez, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Dec 3, 2014
- Last Updated
- Apr 9, 2015
Practice Location
- Address
- 31 S FULLERTON AVE
- Address 2
- 2ND FLR
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-3455
- Phone
- (973) 783-3030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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| Madeline Till | |
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