Individual
MS. LARA ASHLEY MANTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1493 CAMBRIDGE ST., CAMBRIDGE, MA 02139
(617) 665-1000
(617) 575-5870
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 575-5800
(617) 575-5870
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
214471
MA
Other
Enumeration date
12/13/2007
Last updated
07/29/2024
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