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Individual

IAMILY MARGARITA LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5133 S FM 549, ROCKWALL, TX 75032-9178
(469) 458-9021
Mailing address
652 SUMMERHAVEN, FORNEY, TX 75126-9099
(469) 642-6818

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
TX

Other

Enumeration date
11/29/2022
Last updated
11/29/2022
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