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1942211685
FAVIOLA LOPEZ
MOUNT VERNON, WA
NPI
1942211685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA RC00055169)
Enumeration Date
2006-08-10
Last Update Date
2007-07-08
Business Address
-- FAVIOLA LOPEZ
1100 S 2ND ST
MOUNT VERNON, WA 98273-4209
Phone number: 360-419-3559
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Mailing Address
-- FAVIOLA LOPEZ
440 FILBERT LN
BURLINGTON, WA 98233-2020
Phone number: 360-840-8880
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