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1053610022
MARIA ESTELA LARA
SAN JOSE, CA
NPI
1053610022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA N9979486)
Enumeration Date
2011-03-16
Last Update Date
2011-03-16
Business Address
-- MARIA ESTELA LARA
614 TULLY RD
SAN JOSE, CA 95111-1048
Phone number: 408-977-1591
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Mailing Address
-- MARIA ESTELA LARA
614 TULLY RD
SAN JOSE, CA 95111-1048
Phone number: 408-977-1591
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