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1508638982
ELIZABETH BRISENO LOPEZ
PHOENIX, AZ
NPI
1508638982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW-21593)
Enumeration Date
2023-10-27
Last Update Date
2023-10-27
Business Address
ELIZABETH BRISENO LOPEZ LCSW
2525 E ROOSEVELT ST
PHOENIX, AZ 85008-4948
Phone number: 602-344-1015
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Mailing Address
ELIZABETH BRISENO LOPEZ LCSW
2525 E ROOSEVELT ST
PHOENIX, AZ 85008-4948
Phone number:
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