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Individual

KRYSTLE LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
675 MANSELL RD STE 115, ROSWELL, GA 30076-4877
(770) 280-5792
Mailing address
675 MANSELL RD STE 115, ROSWELL, GA 30076-4877

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
GA

Other

Enumeration date
06/05/2025
Last updated
06/05/2025
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