MIRTA LOPEZ

MONTCLAIR, NJ
NPI1295132330
Former NameMIRTA CARRERO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44SC 00653900)
Enumeration Date2014-12-03
Last Update Date2015-04-09
Business Address
Mrs. MIRTA LOPEZ LCSW
31 S FULLERTON AVE 2ND FLR
MONTCLAIR, NJ 07042-3455
Phone number: 973-783-3030
Mailing Address
Mrs. MIRTA LOPEZ LCSW
31 S FULLERTON AVE
MONTCLAIR, NJ 07042-3455
Phone number: 973-704-3926
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