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1194166553
CARLOS S LARA
BELLEROSE, NY
NPI
1194166553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 72081083)
Enumeration Date
2013-07-15
Last Update Date
2013-07-15
Business Address
-- CARLOS S LARA
8804 COMMONWEALTH BLVD
BELLEROSE, NY 11426-1639
Phone number: 914-939-8935
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Mailing Address
-- CARLOS S LARA
8804 COMMONWEALTH BLVD
BELLEROSE, NY 11426-1639
Phone number: 914-939-8935
Copy
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