Maria Lara

NPI #1033933593 in Mangum, Oklahoma

Provider Information

NPI Number: 1033933593
Entity Type: Individual
Name: Maria Lara
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Nov 12, 2024
Last Updated: Nov 12, 2024

Practice Location

Address: 1916 N LOUIS TITTLE AVE
City: Mangum
State: Oklahoma
ZIP Code: 73554-1629
Phone: (405) 402-5218

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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