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1356744627
JOSE LOPEZ
PHILADELPHIA, PA
NPI
1356744627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-10-01
Last Update Date
2014-10-01
Business Address
-- JOSE LOPEZ MA
2927 N 5TH ST
PHILADELPHIA, PA 19133-2800
Phone number: 484-221-9136
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Mailing Address
-- JOSE LOPEZ MA
2030 W TILGHMAN ST SUITE 105B
ALLENTOWN, PA 18104-4354
Phone number: 484-221-9136
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