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JONATAN LOPEZ MANCILLA

Social Worker

NPI: 1053973685Individual

Specialties, Licenses & Credentials

Counselor — Mental Health

Code: 101YM0800X

Social Worker

Code: 104100000X

Contact & Hours

Address
390 W 100 N
EPHRAIM, UT 84627

Quick Facts

NPI
1053973685
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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