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1063620375
CAROL A LOPEZ
PUEBLO, CO
NPI
1063620375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO 4885)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
Mrs. CAROL A LOPEZ BSW,CACIII
3500 BALTIMORE AVE
PUEBLO, CO 81008-1543
Phone number: 719-545-1181
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Mailing Address
Mrs. CAROL A LOPEZ BSW,CACIII
3500 BALTIMORE AVE
PUEBLO, CO 81008-1543
Phone number: 719-545-1181
Copy
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