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1740858539
STACEY LOPEZ
GASTONIA, NC
NPI
1740858539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C015887)
Enumeration Date
2021-06-16
Last Update Date
2023-05-15
Business Address
STACEY LOPEZ LCSW
409 S OAKLAND ST
GASTONIA, NC 28052-4312
Phone number: 704-874-9005
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Mailing Address
STACEY LOPEZ LCSW
200 E 2ND AVE
GASTONIA, NC 28052-4358
Phone number: 704-874-1900
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