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Individual

MAITE LOPEZ ECHAZABAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1326 SE 1ST ST, CAPE CORAL, FL 33990-1751
(786) 804-8416
Mailing address
1326 SE 1ST ST, CAPE CORAL, FL 33990-1751
(786) 804-8416

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0102629
FL

Other

Enumeration date
03/05/2020
Last updated
08/21/2023
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