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1700430105
JESSE KYLE LOPEZ
PISCATAWAY, NJ
NPI
1700430105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NJ 44SC05823200)
Enumeration Date
2019-07-24
Last Update Date
2023-11-27
Business Address
JESSE KYLE LOPEZ LCSW
671 HOES LN W
PISCATAWAY, NJ 08854-8021
Phone number: 855-515-5700
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Mailing Address
JESSE KYLE LOPEZ LCSW
671 HOES LN W
PISCATAWAY, NJ 08854-8021
Phone number: 786-478-8777
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