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1770592271
JAVIER LOPEZ
SAINT LOUIS, MO
NPI
1770592271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2008000928)
Enumeration Date
2006-08-05
Last Update Date
2008-01-30
Business Address
-- JAVIER LOPEZ
915 N GRAND BLVD
SAINT LOUIS, MO 63106-1621
Phone number: 314-652-4100
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Mailing Address
-- JAVIER LOPEZ
9209 WABADAY AVE
OVERLAND, MO 63114-5527
Phone number:
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