Individual
ABEL PAUL LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
867 N FAIR OAKS AVE, PASADENA, CA 91103-3050
(626) 379-9094
Mailing address
PO BOX 404, WEST COVINA, CA 91793-0404
(323) 614-9062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
98315
CA
Other
Enumeration date
06/11/2019
Last updated
07/02/2024
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