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Individual
MARIA I. LOPEZ
Active
Individual
MARIA I. LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBHT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CBHT3861
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0045609306
—
FL
Enumeration date
10/21/2008
Last updated
08/11/2009
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