IESHA VICKTORIA LOPEZ

PROVO, UT
NPI1457871592
Former NameIESHA VICKTORIA BAILEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  10382224-3502)
Enumeration Date2017-06-20
Last Update Date2025-01-22
Business Address
IESHA VICKTORIA LOPEZ LCSW
750 N FREEDOM BLVD
PROVO, UT 84601
Phone number: 801-373-4760
Mailing Address
IESHA VICKTORIA LOPEZ LCSW
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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