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1083160048
ELIAS LOPEZ
SAN CARLOS, CA
NPI
1083160048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-08-30
Last Update Date
2016-08-30
Business Address
-- ELIAS LOPEZ
610 ELM ST STE 212
SAN CARLOS, CA 94070-3070
Phone number: 650-591-9623
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Mailing Address
-- ELIAS LOPEZ
610 ELM ST STE 212
SAN CARLOS, CA 94070-3070
Phone number: 650-591-0979
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