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Individual

ALLISON LARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
112 MARKET ST FL 2, LYNN, MA 01901-1125
(201) 820-7541
Mailing address
92 GLADSTONE ST, BOSTON, MA 02128-2613
(201) 820-7541

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
106H00000X
Marriage & Family Therapist
001143
NY

Other

Enumeration date
10/28/2014
Last updated
10/28/2014
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