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1942998760
JESSICA LOPEZ
PLAINVILLE, CT
NPI
1942998760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 12415)
Enumeration Date
2023-04-28
Last Update Date
2023-04-28
Business Address
JESSICA LOPEZ LCSW
91 NORTHWEST DR
PLAINVILLE, CT 06062-1552
Phone number: 203-232-4051
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Mailing Address
JESSICA LOPEZ LCSW
35 RUTH ST APT 46
BRISTOL, CT 06010-3218
Phone number: 787-201-3793
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