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1174815294
SHERITH LOPEZ
PHOENIX, AZ
NPI
1174815294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-0954)
Enumeration Date
2011-05-08
Last Update Date
2011-05-08
Business Address
Mrs. SHERITH LOPEZ LISAC
2400 N CENTRAL AVE
PHOENIX, AZ 85004-1341
Phone number: 602-264-9891
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Mailing Address
Mrs. SHERITH LOPEZ LISAC
2400 N CENTRAL AVE
PHOENIX, AZ 85004-1341
Phone number: 602-264-9891
Copy
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