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1063098606
NICOLE LARA
DELRAY BEACH, FL
NPI
1063098606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW18041)
Enumeration Date
2021-03-23
Last Update Date
2021-03-23
Business Address
NICOLE LARA LCSW
14000 S MILITARY TRL
DELRAY BEACH, FL 33484-2610
Phone number: 561-819-0620
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Mailing Address
NICOLE LARA LCSW
6800 NW 39TH AVE LOT 303
COCONUT CREEK, FL 33073-3251
Phone number: 561-306-1732
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