Mariah Lynn Martineau Lopez, LCAS, LCSWA
Social Worker, Clinical in Wilmington, NC. Individual provider (NPI-1).
NPI number1013676774
StatusActive
Last updated in NPPESDec 9, 2021
Details
- NPI
- 1013676774
- Entity type
- Individual (NPI-1)
- Name
- Mariah Lynn Martineau Lopez
- Credential
- LCAS, LCSWA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2021
- Certification date
- Dec 9, 2021
- Last updated
- Dec 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | p017146 | NC | Yes |
Practice location
615 Shipyard BlvdWilmington, NC 28412-6431
Phone 910-622-1610
Mailing address
615 Shipyard BlvdWilmington, NC 28412-6431
Phone 910-622-1610
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