BENJAMIN RAMON LARA

BOISE, ID
NPI1063846764
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  32322)
Enumeration Date2013-08-29
Last Update Date2013-08-29
Business Address
Mr. BENJAMIN RAMON LARA LMSW
9196 W BARNES DR
BOISE, ID 83709-1552
Phone number: 208-433-0400
Mailing Address
Mr. BENJAMIN RAMON LARA LMSW
5859 MILLWRIGHT AVE
GARDEN CITY, ID 83714-1665
Phone number: 208-433-0400
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