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1164117917
IRVING EULISES LOPEZ
SAN BERNARDINO, CA
NPI
1164117917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW110337)
Enumeration Date
2023-04-07
Last Update Date
2023-04-07
Business Address
IRVING EULISES LOPEZ LCSW
250 S G ST
SAN BERNARDINO, CA 92410-3320
Phone number: 909-382-7100
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Mailing Address
IRVING EULISES LOPEZ LCSW
569 OVERLEAF WAY
SAN JACINTO, CA 92582-3797
Phone number:
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