LARA WITHOP

LAKEPORT, CA
NPI1649680257
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  75305)
Enumeration Date2014-05-05
Last Update Date2014-05-05
Business Address
-- LARA WITHOP
1152 S MAIN ST
LAKEPORT, CA 95453-5517
Phone number: 707-263-8795
Mailing Address
-- LARA WITHOP
1152 S MAIN ST
LAKEPORT, CA 95453-5517
Phone number:
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