ANGELICA LARA

NEW LENOX, IL
NPI1548885114
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.022130)
Enumeration Date2020-06-10
Last Update Date2020-06-10
Business Address
ANGELICA LARA
1621 ANDREA DR
NEW LENOX, IL 60451-2303
Phone number: 779-435-0724
Mailing Address
ANGELICA LARA
PO BOX 405
NEW LENOX, IL 60451-0405
Phone number: