Ismael Medina Lara

NPI #1053007245 in Exton, Pennsylvania

Provider Information

NPI Number
1053007245
Entity Type
Individual
Name
Ismael Medina Lara
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Enumeration Date
Apr 12, 2023
Last Updated
Apr 12, 2023

Practice Location

Address
728 SPRINGDALE DR
City
Exton
ZIP Code
19341-2828
Phone
(610) 344-9600

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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