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1255178679
AMY DARLEEN LOPEZ
PALMDALE, CA
NPI
1255178679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1418670124)
Enumeration Date
2024-07-12
Last Update Date
2024-07-12
Business Address
AMY DARLEEN LOPEZ RADT
3609 FAIRFIELD AVE
PALMDALE, CA 93550-8411
Phone number: 323-439-0758
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Mailing Address
AMY DARLEEN LOPEZ RADT
3609 FAIRFIELD AVE
PALMDALE, CA 93550-8411
Phone number: 323-439-0758
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