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1891174413
ANGEL LOPEZ
BRANDON, FL
NPI
1891174413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH11842)
Enumeration Date
2015-05-28
Last Update Date
2015-08-25
Business Address
Mr. ANGEL LOPEZ LMHC
339 E ROBERTSON ST
BRANDON, FL 33511-5253
Phone number: 813-662-4214
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Mailing Address
Mr. ANGEL LOPEZ LMHC
2008 REDBRIDGE DR
BRANDON, FL 33511-8392
Phone number: 813-957-6111
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