Individual
ADRIAN LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
392 GREEN RIVER DR, GRAND JUNCTION, CO 81504-2441
(970) 640-5892
Mailing address
392 GREEN RIVER DR, GRAND JUNCTION, CO 81504-2441
(970) 640-5892
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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