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1083227193
FERGIE REBECA LOPEZ
SAN CARLOS, CA
NPI
1083227193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-08-28
Last Update Date
2020-08-28
Business Address
FERGIE REBECA LOPEZ
610 ELM ST STE 212
SAN CARLOS, CA 94070-3070
Phone number: 650-591-9623
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Mailing Address
FERGIE REBECA LOPEZ
610 ELM ST STE 212
SAN CARLOS, CA 94070-3070
Phone number: 650-591-9623
Copy
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