BENJAMIN LOPEZ

KISSIMMEE, FL
NPI1023368511
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: PR  19176)
Enumeration Date2012-09-12
Last Update Date2012-09-12
Business Address
-- BENJAMIN LOPEZ
4764 VERO BEACH PL
KISSIMMEE, FL 34746-7412
Phone number: 787-460-1798
Mailing Address
-- BENJAMIN LOPEZ
4764 VERO BEACH PL
KISSIMMEE, FL 34746-7412
Phone number: 787-460-1798
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