Individual
ROBERTO LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4190 S HIGHLAND DR STE 112, MILLCREEK, UT 84124-2669
(385) 377-9308
Mailing address
6284 S WESTLILAC DR, WEST JORDAN, UT 84081-3857
(385) 377-9308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
07/17/2025
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