MR. Richard Brannen Lara, LMSW

NPI #1174651095 in Espanola, New Mexico

Provider Information

NPI Number: 1174651095
Entity Type: Individual
Name: MR. Richard Brannen Lara, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Mar 1, 2007
Last Updated: Jan 6, 2012

Practice Location

Address: 404 HUNTER ST
City: Espanola
State: New Mexico
ZIP Code: 87532-2655
Phone: (505) 753-4123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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