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1609624543
BIANCA LARA
PLANTATION, FL
NPI
1609624543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL imh21450)
Enumeration Date
2024-05-07
Last Update Date
2024-05-07
Business Address
BIANCA LARA
7520 NW 5TH ST STE 200
PLANTATION, FL 33317-1613
Phone number: 954-903-7285
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Mailing Address
BIANCA LARA
261 N UNIVERSITY DR STE 500
PLANTATION, FL 33324-2009
Phone number:
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