JOSE GRACIEL LARA

DECATUR, GA
NPI1528848256
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-10-02
Last Update Date2023-10-02
Business Address
JOSE GRACIEL LARA
120 E TRINITY PL
DECATUR, GA 30030-3302
Phone number: 404-378-2300
Mailing Address
JOSE GRACIEL LARA
120 E TRINITY PL
DECATUR, GA 30030-3302
Phone number: 404-378-2300
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