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1770041436
LETICIA C LARA
PASADENA, CA
NPI
1770041436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS18093)
Enumeration Date
2019-03-12
Last Update Date
2019-03-12
Business Address
Miss LETICIA C LARA LCSW
236 W MOUNTAIN ST STE 201
PASADENA, CA 91103-2969
Phone number: 626-765-9150
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Mailing Address
Miss LETICIA C LARA LCSW
PO BOX 94679
PASADENA, CA 91109-4679
Phone number: 818-314-5988
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