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1164245726
LEANN LAILA LOPEZ
SAN DIEGO, CA
NPI
1164245726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 19301)
Enumeration Date
2024-11-04
Last Update Date
2024-11-04
Business Address
LEANN LAILA LOPEZ SUDRC
1750 5TH AVE
SAN DIEGO, CA 92101-2754
Phone number: 619-515-2588
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Mailing Address
LEANN LAILA LOPEZ SUDRC
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-515-2300
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