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1255897146
STANLEY M. LOPEZ
NEW YORK, NY
NPI
1255897146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 8100)
Enumeration Date
2019-02-15
Last Update Date
2019-02-15
Business Address
STANLEY M. LOPEZ CASAC II
214 W 116TH ST
NEW YORK, NY 10026-2494
Phone number: 212-602-1400
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Mailing Address
STANLEY M. LOPEZ CASAC II
3985 GOUVERNEUR AVE
BRONX, NY 10463-2939
Phone number: 917-650-7032
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