Michael Lara

NPI #1356705750 in Charlestown, Massachusetts

Provider Information

NPI Number: 1356705750
Entity Type: Individual
Name: Michael Lara
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Apr 12, 2016
Last Updated: Apr 12, 2016

Practice Location

Address: 529 MAIN ST STE 100
City: Charlestown
State: Massachusetts
ZIP Code: 02129-1119
Phone: (617) 864-8140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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