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
ZIP Code
02744
Phone
(508) 999-3126

Specialties & Taxonomy Codes

Specialty
Counselor

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