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1003693912
LARA PETROU GREEN
FOLSOM, CA
NPI
1003693912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: CA ASW117853)
Enumeration Date
2023-09-13
Last Update Date
2023-09-13
Business Address
LARA PETROU GREEN ACSW
919 BLUE RAPIDS DR
FOLSOM, CA 95630-7910
Phone number: 916-212-0442
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Mailing Address
LARA PETROU GREEN ACSW
919 BLUE RAPIDS DR
FOLSOM, CA 95630-7910
Phone number: 916-212-0442
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