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Organization
MULTICULTURAL CONSCIOUSNESS, LLC
Active
Organization
MULTICULTURAL CONSCIOUSNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL PEGGY LOPEZ MS, LCSW-R, DSW (MEMBER/OWNER)
(203) 308-1418
Entity
Organization
Contact information
Practice address
1372 SUMMER ST STE 203, STAMFORD, CT 06905-5361
(203) 308-1418
(914) 937-2568
Mailing address
14 FAWCETT ST, PORT CHESTER, NY 10573-5226
(203) 308-1418
(914) 937-2568
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710322391
COMMERCIAL INSURANCE
CT
01
—
1710322391
COMMERCIAL INSURANCE
NY
05
—
1710322391
—
CT
05
—
1710322391
—
NY
Enumeration date
03/18/2020
Last updated
10/16/2020
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