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1538700505
ROSA LOPEZ
JOLIET, IL
NPI
1538700505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 27208)
Enumeration Date
2019-10-01
Last Update Date
2019-10-01
Business Address
ROSA LOPEZ
2400 GLENWOOD AVE STE 126
JOLIET, IL 60435-5495
Phone number: 815-730-7521
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Mailing Address
ROSA LOPEZ
2400 GLENWOOD AVE STE 126
JOLIET, IL 60435-5495
Phone number: 815-730-7521
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