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1124238365
MELISSA A LOPEZ
SEMINOLE, OK
NPI
1124238365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: under supervision)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
-- MELISSA A LOPEZ CM-D, CADC
225 E EVANS AVE
SEMINOLE, OK 74868-3423
Phone number: 405-382-5438
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Mailing Address
-- MELISSA A LOPEZ CM-D, CADC
43320 BELLE BROOK CIR
SHAWNEE, OK 74804-9140
Phone number:
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