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1497944532
MIGUEL HUMBERTO LARA
CANUTILLO, TX
NPI
1497944532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM 0107171)
Enumeration Date
2007-10-15
Last Update Date
2007-10-15
Business Address
Mr. MIGUEL HUMBERTO LARA M.Ed, LMHC
6621 DONIPHAN DR STE G
CANUTILLO, TX 79835-5005
Phone number: 915-877-5100
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Mailing Address
Mr. MIGUEL HUMBERTO LARA M.Ed, LMHC
6621 DONIPHAN DR STE G
CANUTILLO, TX 79835-5005
Phone number: 915-877-5100
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