Most Relevant Information
Provider Data
| NPI Number: | 1003285107 |
| Provider Name: | LESLIE MARIELL LOPEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LCSW88479 |
Most Important Dates
| Enumeration Date: | 09/18/2015 |
| Last Updated: | 03/11/2021 |
Provider Practice Location
2600 REDONDO AVE FL 3
LONG BEACH
CA
908062325
Practice Location Phone/Fax
| Phone: | 5622562936 |
| Fax: |
Provider Mailing Location
PO BOX 3111
HUNTINGTON PARK
CA
902552011
Provider Mailing Phone/Fax
| Phone: | 3236149815 |
| Fax: |