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1255007431
JENNIFER ANDREA LOPEZ
PASADENA, CA
NPI
1255007431
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: DE q10011874)
Enumeration Date
2021-08-18
Last Update Date
2021-08-18
Business Address
JENNIFER ANDREA LOPEZ LCSW
403 N MAR VISTA AVE APT 6
PASADENA, CA 91106-1145
Phone number: 626-315-7653
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Mailing Address
JENNIFER ANDREA LOPEZ LCSW
10234 ROSE AVE
MONTCLAIR, CA 91763-3939
Phone number:
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