Individual
MS. LARA ROYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 E ST NE, BRAINERD, MN 56401-2857
(218) 828-7379
(218) 828-7390
Mailing address
149 RIVER ST, PINE RIVER, MN 56474-9014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23130
MN
Other
Enumeration date
12/11/2015
Last updated
04/22/2019
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