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Individual
MISS MARIA GABRIELA LOPEZ
Active
Individual
MISS MARIA GABRIELA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SI1100
FL
235Z00000X
Speech-Language Pathologist
Primary
SA12716
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590668488
PRIVATE
FL
Enumeration date
05/30/2012
Last updated
06/13/2018
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