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1720849912
ERICA LOUISE LARA
SAN JOSE, CA
NPI
1720849912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1461250322)
Enumeration Date
2024-01-16
Last Update Date
2024-01-16
Business Address
Mrs. ERICA LOUISE LARA RADT #1461250322
9505 MALECH DR
SAN JOSE, CA 95138-2002
Phone number: 669-319-2609
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Mailing Address
Mrs. ERICA LOUISE LARA RADT #1461250322
1922 THE ALAMEDA STE 316
SAN JOSE, CA 95126-1461
Phone number: 408-261-7777
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