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1750167243
LARA LONG
SACRAMENTO, CA
NPI
1750167243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-08-31
Last Update Date
2023-08-31
Business Address
LARA LONG
1 MIRANDA CT
SACRAMENTO, CA 95822-3207
Phone number: 916-272-4188
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Mailing Address
LARA LONG
1 MIRANDA CT
SACRAMENTO, CA 95822-3207
Phone number:
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