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1063797470
KELLI RICHARD LOPEZ
DAVIE, FL
NPI
1063797470
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Former Name
KELLI A RICHARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-10-17
Last Update Date
2020-03-24
Business Address
KELLI RICHARD LOPEZ LCSW
2969 OAK PARK CIR
DAVIE, FL 33328-6727
Phone number: 954-290-9320
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Mailing Address
KELLI RICHARD LOPEZ LCSW
2969 OAK PARK CIR
DAVIE, FL 33328-6727
Phone number: 954-290-9320
Copy
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