RICHARD BRANNEN LARA

ESPANOLA, NM
NPI1174651095
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: NM  X05752)
Enumeration Date2007-03-01
Last Update Date2012-01-06
Business Address
Mr. RICHARD BRANNEN LARA LMSW
404 HUNTER ST
ESPANOLA, NM 87532-2655
Phone number: 505-753-4123
Mailing Address
Mr. RICHARD BRANNEN LARA LMSW
404 HUNTER ST
ESPANOLA, NM 87532-2655
Phone number: 505-753-4123
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