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1053735100
MANDY LOPEZ
ALBUQUERQUE, NM
NPI
1053735100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM C-09467)
Enumeration Date
2014-02-10
Last Update Date
2019-01-31
Business Address
MANDY LOPEZ LCSW
6330 RIVERSIDE PLAZA LN NW STE 260
ALBUQUERQUE, NM 87120-2160
Phone number: 505-226-2839
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Mailing Address
MANDY LOPEZ LCSW
2710 BLUE MOON DR NE
RIO RANCHO, NM 87144-4145
Phone number: 505-901-0120
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