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1225727548
JUAN CARLOS LOPEZ
MANCHESTER, CT
NPI
1225727548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
104100000X Social Worker
(Licence: CT 7056)
Enumeration Date
2023-05-03
Last Update Date
2024-09-23
Business Address
JUAN CARLOS LOPEZ LMSW
444 CENTER ST
MANCHESTER, CT 06040-3926
Phone number: 860-731-5522
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Mailing Address
JUAN CARLOS LOPEZ LMSW
2 WATERSIDE XING STE 401
WINDSOR, CT 06095-1588
Phone number: 860-731-5522
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