JACKELINE LAURA LARA

MOUNT DORA, FL
NPI1366157224
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH21252)
Enumeration Date2023-01-16
Last Update Date2023-01-16
Business Address
Miss JACKELINE LAURA LARA LMHC
440 ROYELLOU LN STE 207
MOUNT DORA, FL 32757-5520
Phone number: 786-294-3186
Mailing Address
Miss JACKELINE LAURA LARA LMHC
28934 SLEEPY BEAR LN
SORRENTO, FL 32776-9529
Phone number: 786-294-3186
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