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Individual

MARY-KATHRYN LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., M.A., LMFT

Contact information

Practice address
911 S PARSONS AVE STE H, BRANDON, FL 33511-6042
(813) 454-3769
Mailing address
911 S PARSONS AVE STE H, BRANDON, FL 33511-6042
(813) 454-3769

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3006
FL

Other

Enumeration date
05/18/2015
Last updated
12/27/2019
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