LARA MICHELLE DIRKS

MODESTO, CA
NPI1568582690
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  49770)
Enumeration Date2007-03-30
Last Update Date2015-01-12
Business Address
-- LARA MICHELLE DIRKS
800 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 206-525-6046
Mailing Address
-- LARA MICHELLE DIRKS
PO BOX 1242
MODESTO, CA 95353-1242
Phone number: 209-872-1794
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