ALFONSO R LARA

WAUKEGAN, IL
NPI1639997141
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2024-10-02
Last Update Date2024-10-02
Business Address
MR. ALFONSO R LARA
1730 WASHINGTON ST
WAUKEGAN, IL 60085-5102
Phone number: 224-374-8792
Mailing Address
MR. ALFONSO R LARA
1730 WASHINGTON ST
WAUKEGAN, IL 60085-5102
Phone number: 224-374-8792
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