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1477230340
MAYA LOPEZ
SEBASTOPOL, CA
NPI
1477230340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-06-30
Last Update Date
2023-06-30
Business Address
MAYA LOPEZ ASW
652 PETALUMA AVE
SEBASTOPOL, CA 95472-4256
Phone number: 707-216-0548
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Mailing Address
MAYA LOPEZ ASW
1069 BUSH ST
SANTA ROSA, CA 95404-5153
Phone number: 707-331-7457
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