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1710106240
DELORES DEBRA LOPEZ
NEW YORK, NY
NPI
1710106240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 11478)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
Ms. DELORES DEBRA LOPEZ C.A.S.A.C.
500 8TH AVE 3RD FLOOR
NEW YORK, NY 10018-6504
Phone number: 212-904-1500
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Mailing Address
Ms. DELORES DEBRA LOPEZ C.A.S.A.C.
365 51ST ST APT. #3
BROOKLYN, NY 11220-1807
Phone number: 718-439-8034
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