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1114356425
LIZET LOPEZ-LONGORIA
SANTA TERESA, NM
NPI
1114356425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM T-0162011)
Enumeration Date
2013-11-06
Last Update Date
2021-10-03
Business Address
LIZET LOPEZ-LONGORIA
5305 MCNUTT RD
SANTA TERESA, NM 88008-9685
Phone number: 575-882-5100
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Mailing Address
LIZET LOPEZ-LONGORIA
1490 A GEORGE DIETER,PMB 211
EL PASO, TX 79936-9685
Phone number: 915-319-4803
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