ROBERTO LARA

WEST JORDAN, UT
NPI1588211585
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2019-08-23
Last Update Date2019-08-23
Business Address
ROBERTO LARA
7625 S 3200 W
WEST JORDAN, UT 84084-2800
Phone number: 801-915-0359
Mailing Address
ROBERTO LARA
7625 S 3200 W
WEST JORDAN, UT 84084-2800
Phone number: 801-915-0359
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