Ellen Lara, MA
NPI #1013124155 in New Bedford, Massachusetts
Provider Information
- NPI Number
- 1013124155
- Entity Type
- Individual
- Name
- Ellen Lara, MA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- MA
- Enumeration Date
- May 17, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 30-32R GIFFORD ST
- City
- New Bedford
- State
- Massachusetts
- ZIP Code
- 02744
- Phone
- (508) 999-3126
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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