FRED LOPEZ

NORTH BALDWIN, NY
NPI1164667259
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R043649-1)
Enumeration Date2008-12-03
Last Update Date2016-09-02
Business Address
Mr. FRED LOPEZ LCSW
547 NEW YORK AVE
NORTH BALDWIN, NY 11510-2605
Phone number: 516-546-2975
Mailing Address
Mr. FRED LOPEZ LCSW
380 NASSAU RD
ROOSEVELT, NY 11575-1343
Phone number: 516-546-2975
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