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1821589003
MARTIN GONZALO LOPEZ
MIAMI, FL
NPI
1821589003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 15414)
Enumeration Date
2018-05-23
Last Update Date
2018-05-26
Business Address
Mr. MARTIN GONZALO LOPEZ RCSWI
6900 SW 80TH ST
MIAMI, FL 33143
Phone number: 786-662-8176
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Mailing Address
Mr. MARTIN GONZALO LOPEZ RCSWI
6900 SW 80TH ST
MIAMI, FL 33143-4931
Phone number: 305-878-8268
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