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1184264830
AMANDA LOPEZ
RIVERSIDE, CA
NPI
1184264830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA r1196420315)
Enumeration Date
2020-01-10
Last Update Date
2020-01-10
Business Address
AMANDA LOPEZ
5870 ARLINGTON AVE
RIVERSIDE, CA 92504-2037
Phone number: 951-683-6596
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Mailing Address
AMANDA LOPEZ
5870 ARLINGTON AVE
RIVERSIDE, CA 92504-2037
Phone number: 951-683-6596
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