Marta Lopez Licensed Clinical Social Worker Professional Corporation
NPI #1912164567 in Glendora, California
Provider Information
- NPI Number
- 1912164567
- Entity Type
- Organization
- Organization Name
- Marta Lopez Licensed Clinical Social Worker Professional Corporation
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 21, 2008
- Last Updated
- Dec 26, 2013
Practice Location
- Address
- 157 N GLENDORA AVE
- Address 2
- SUITE 221
- City
- Glendora
- State
- California
- ZIP Code
- 91741-3383
- Phone
- (909) 268-4649
Authorized Official
- Name
- MRS. MARTA LOPEZ, LCSW
- Title
- LICENSED CLINICAL SOCIAL WORKER
- Phone
- (909) 268-4659
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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