IRENE BAUTISTA LOPEZ

LAWRENCEVILLE, GA
NPI1164021135
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: GA  APC007617)
Enumeration Date2020-10-21
Last Update Date2020-10-21
Business Address
IRENE BAUTISTA LOPEZ MS, APC, NCC
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
Mailing Address
IRENE BAUTISTA LOPEZ MS, APC, NCC
1727 CHASE COMMON CT
NORCROSS, GA 30071-3565
Phone number: 803-944-1359
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