STACY LOPEZ

CALDWELL, ID
NPI1467298430
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  11909)
Enumeration Date2024-07-08
Last Update Date2024-07-08
Business Address
STACY LOPEZ ADC, MSP
709 DEARBORN ST
CALDWELL, ID 83605-4116
Phone number: 208-376-7083
Mailing Address
STACY LOPEZ ADC, MSP
709 DEARBORN ST
CALDWELL, ID 83605-4116
Phone number: 208-376-7083
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