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1801176961
LAURIE LA VERNE LOPEZ
BETHEL, AK
NPI
1801176961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-08-22
Last Update Date
2011-08-22
Business Address
LAURIE LA VERNE LOPEZ
829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK 99559
Phone number: 907-543-6107
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Mailing Address
LAURIE LA VERNE LOPEZ
PO BOX 528
BETHEL, AK 99559
Phone number: 907-543-6101
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