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1205575131
KAITLYN VICTORIA LOPEZ
MIAMI, FL
NPI
1205575131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL MH20817)
Enumeration Date
2022-05-31
Last Update Date
2022-05-31
Business Address
KAITLYN VICTORIA LOPEZ
12583 SW 119TH PL
MIAMI, FL 33186-5181
Phone number: 786-671-2299
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Mailing Address
KAITLYN VICTORIA LOPEZ
2423 SW 147TH AVE # 2037
MIAMI, FL 33185-4082
Phone number:
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