Individual provider · Type 1 NPI

Amanda Michelle Lopez, ASW #114024

Student in an Organized Health Care Education/Training Program · Chowchilla, CA

NPI number 1992411524 Active

Practice location

23370 Road 22
Chowchilla, CA 93610-8504

Call (559) 250-4461 Map

Mailing address

2037 W Bullard Ave # 121
Fresno, CA 93711-1233

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X114024 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000X114024 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992411524

Amanda Michelle Lopez, ASW #114024's National Provider Identifier is 1992411524, issued on Jan 26, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chowchilla, CA. The record was last updated on Apr 2, 2024.