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1700554771
MALEENA ADIAN LOPEZ
MOSES LAKE, WA
NPI
1700554771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-09-02
Last Update Date
2021-09-02
Business Address
MALEENA ADIAN LOPEZ
840 E PLUM ST
MOSES LAKE, WA 98837-1874
Phone number: 509-765-9239
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Mailing Address
MALEENA ADIAN LOPEZ
840 E PLUM ST
MOSES LAKE, WA 98837-1874
Phone number:
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