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1215614961
MARISOL LARA
EL PASO, TX
NPI
1215614961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 58426)
Enumeration Date
2023-07-03
Last Update Date
2023-07-03
Business Address
MARISOL LARA LCSW
11163 LA QUINTA PL STE B100
EL PASO, TX 79936-5258
Phone number: 915-201-2606
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Mailing Address
MARISOL LARA LCSW
3737 LOMA ADRIANA DR
EL PASO, TX 79938-1235
Phone number: 915-202-9915
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