Individual
LARA ZAWACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
130 W. E ST, ENCINITAS, CA 92024-3519
(408) 205-1712
Mailing address
1945 COBALT DRIVE, CARLSBAD, CA 92009-5201
(408) 205-1712
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2831
CA
Other
Enumeration date
01/06/2015
Last updated
06/19/2023
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