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1528822509
MIREYA LOPEZ
BRONX, NY
NPI
1528822509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 34706-T)
Enumeration Date
2024-02-09
Last Update Date
2024-03-01
Business Address
MIREYA LOPEZ
3584 JEROME AVE
BRONX, NY 10467-1006
Phone number: 718-653-1537
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Mailing Address
MIREYA LOPEZ
5210 BROADWAY
BRONX, NY 10463-7610
Phone number:
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