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1912487927
STEPHANIE MARIE LOPEZ RIVERA
BURKE, VA
NPI
1912487927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2018-08-19
Last Update Date
2018-08-19
Business Address
STEPHANIE MARIE LOPEZ RIVERA
10302 MOCKINGBIRD POND CT
BURKE, VA 22015-3715
Phone number: 787-307-0046
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Mailing Address
STEPHANIE MARIE LOPEZ RIVERA
10302 MOCKINGBIRD POND CT
BURKE, VA 22015-3715
Phone number: 787-307-0046
Copy
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