Most Relevant Information
Provider Data
| NPI Number: | 1003233669 |
| Provider Name: | MARIAH LOPEZ LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | M-10635 |
Most Important Dates
| Enumeration Date: | 03/20/2014 |
| Last Updated: | 09/27/2023 |
Provider Practice Location
1709 MOON ST NE
ALBUQUERQUE
NM
871123935
Practice Location Phone/Fax
| Phone: | 5052710329 |
| Fax: |
Provider Mailing Location
6128 MURCIA AVE NW
ALBUQUERQUE
NM
871145852
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |