Individual
KENNETH YARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2422 CALLE ALEGRE, LAS VEGAS, NM 87701-4802
(505) 459-2062
Mailing address
2422 CALLE ALEGRE, LAS VEGAS, NM 87701
(505) 459-2062
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
105992513
NM
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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