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1104041375
ALICIA FAYE LOPEZ
TACOMA, WA
NPI
1104041375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00003504)
Enumeration Date
2007-04-14
Last Update Date
2016-06-28
Business Address
-- ALICIA FAYE LOPEZ CDP
2209 E 32ND ST
TACOMA, WA 98404-4922
Phone number: 253-593-0247
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Mailing Address
-- ALICIA FAYE LOPEZ CDP
2209 E 32ND ST
TACOMA, WA 98404-4922
Phone number: 253-593-0247
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