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1760103501
SIMON LOPEZ
BARSTOW, CA
NPI
1760103501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 109737)
Enumeration Date
2022-09-09
Last Update Date
2023-01-30
Business Address
Mr. SIMON LOPEZ ACSW
309 E MOUNTAIN VIEW ST
BARSTOW, CA 92311-2897
Phone number: 254-368-0874
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Mailing Address
Mr. SIMON LOPEZ ACSW
309 E MOUNTAIN VIEW ST
BARSTOW, CA 92311-2897
Phone number: 254-368-0874
Copy
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