Individual
LIZA ANNE LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6161 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1126
(702) 486-4436
(702) 486-4436
Mailing address
6161 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1126
(702) 486-4436
(702) 486-4436
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7779-C
NV
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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