Crescencio Lopez

NPI #1316330848 in Mansfield Center, Connecticut

Provider Information

NPI Number: 1316330848
Entity Type: Individual
Name: Crescencio Lopez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 9, 2015
Last Updated: Mar 9, 2015

Practice Location

Address: 7B LEDGEBROOK DR
City: Mansfield Center
State: Connecticut
ZIP Code: 06250-1664
Phone: (860) 456-0038

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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