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1619413648
MARLLENE LOPEZ
AMITYVILLE, NY
NPI
1619413648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-01-14
Last Update Date
2017-05-10
Business Address
-- MARLLENE LOPEZ
1081 SUNRISE HIGHWAY
AMITYVILLE, NY 11701-6043
Phone number: 631-716-9026
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Mailing Address
-- MARLLENE LOPEZ
1081 SUNRISE HIGHWAY
AMITYVILLE, NY 11701-6043
Phone number:
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