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1285412387
EDWARD J LARA
KALAMAZOO, MI
NPI
1285412387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6851116180)
Enumeration Date
2023-09-19
Last Update Date
2023-09-19
Business Address
EDWARD J LARA LLMSW
821 W SOUTH ST STE E
KALAMAZOO, MI 49007-4664
Phone number: 269-205-3934
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Mailing Address
EDWARD J LARA LLMSW
821 W SOUTH ST STE E
KALAMAZOO, MI 49007-4664
Phone number:
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