JESUS LOPEZ

HARTFORD, CT
NPI1831513811
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-02-11
Last Update Date2014-02-11
Business Address
-- JESUS LOPEZ
45 WADSWORTH ST
HARTFORD, CT 06106-7108
Phone number: 860-527-1124
Mailing Address
-- JESUS LOPEZ
45 WADSWORTH ST
HARTFORD, CT 06106-7108
Phone number:
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