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1104357532
EMMA LOPEZ
MERCED, CA
NPI
1104357532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA R1370391119)
Enumeration Date
2017-03-27
Last Update Date
2021-01-11
Business Address
EMMA LOPEZ
1343 W MAIN ST
MERCED, CA 95340-4438
Phone number: 209-725-1060
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Mailing Address
EMMA LOPEZ
3360 N HIGHWAY 59 STE K
MERCED, CA 95348-9405
Phone number: 209-628-2997
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