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1932767225
ALEXIS HEREDIA LOPEZ
STOCKTON, CA
NPI
1932767225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT141235)
Enumeration Date
2019-05-31
Last Update Date
2023-10-19
Business Address
ALEXIS HEREDIA LOPEZ
1414 N CALIFORNIA ST
STOCKTON, CA 95202-1515
Phone number: 209-468-8267
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Mailing Address
ALEXIS HEREDIA LOPEZ
1414 N CALIFORNIA ST
STOCKTON, CA 95202-1515
Phone number: 209-468-8267
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