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1003285107
LESLIE MARIELL LOPEZ
LONG BEACH, CA
NPI
1003285107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW88479)
Enumeration Date
2015-09-18
Last Update Date
2021-03-11
Business Address
LESLIE MARIELL LOPEZ
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806-2325
Phone number: 562-256-2936
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Mailing Address
LESLIE MARIELL LOPEZ
PO BOX 3111
HUNTINGTON PARK, CA 90255-2011
Phone number: 323-614-9815
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