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Individual
CARMEN IVETTE LOPEZ
Active
Individual
CARMEN IVETTE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOCTORATE
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TF0000X
Family Psychologist
Primary
—
—
103TH0100X
Health Service Psychologist
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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