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1083182885
CARLOS G LOPEZ
PORT ORCHARD, WA
NPI
1083182885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60613823)
Enumeration Date
2018-11-09
Last Update Date
2018-11-09
Business Address
CARLOS G LOPEZ
1415 LUMSDEN RD
PORT ORCHARD, WA 98367-9179
Phone number: 360-881-7878
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Mailing Address
CARLOS G LOPEZ
1415 LUMSDEN RD
PORT ORCHARD, WA 98367-9179
Phone number: 360-881-7878
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