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1245976380
JENNIFER LIZETTE LARA
BARSTOW, CA
NPI
1245976380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: CA 98157)
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2022-05-11
Last Update Date
2024-04-04
Business Address
JENNIFER LIZETTE LARA MSW, ASW
222 E MAIN ST STE 117
BARSTOW, CA 92311-2365
Phone number: 760-885-5986
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Mailing Address
JENNIFER LIZETTE LARA MSW, ASW
222 E MAIN ST STE 117
BARSTOW, CA 92311-2365
Phone number: 760-885-5986
Copy
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