Individual
MRS. LARA CARCOURA ULMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 EUCLID AVE APT 105, LONG BEACH, CA 90804-4051
(562) 362-1196
Mailing address
1100 EUCLID AVE APT 105, LONG BEACH, CA 90804-4051
(562) 362-1196
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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