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Individual

MARICEL LOPEZ-CURRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
(678) 212-6350
Mailing address
945 PEBBLE CREEK TRL, SUWANEE, GA 30024-6860

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106H00000X
Marriage & Family Therapist
Primary
MFT001367
GA
106H00000X
Marriage & Family Therapist
MT2105
FL

Other

Enumeration date
02/02/2013
Last updated
09/14/2018
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