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1427294040
ELLADEAN D LOPEZ
SAN ANTONIO, TX
NPI
1427294040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 19561)
Enumeration Date
2009-01-02
Last Update Date
2009-01-02
Business Address
-- ELLADEAN D LOPEZ LPC
622 WAYSIDE DR
SAN ANTONIO, TX 78213-2843
Phone number: 210-878-7675
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Mailing Address
-- ELLADEAN D LOPEZ LPC
622 WAYSIDE DR
SAN ANTONIO, TX 78213-2843
Phone number:
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