Individual
ELIZABETH LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSWA
Contact information
Practice address
2301 ALTON RD, DELTONA, FL 32738-4008
(386) 216-7610
Mailing address
5385 ROBERTS CT, TARAWA TERRACE, NC 28543-1283
(386) 216-7610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P009913
NC
Other
Enumeration date
11/26/2015
Last updated
09/22/2022
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