Individual
SANDRA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 E MESCALERO RD, ROSWELL, NM 88201-6542
(575) 623-1480
(575) 622-3325
Mailing address
202 E EARLL DR, SUITE 200, PHOENIX, AZ 85012-2634
(575) 623-1480
(575) 622-3325
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/06/2014
Last updated
06/13/2014
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