Individual
CLEMENCIA LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5115 AVENUE H, ROSENBERG, TX 77471-2013
(713) 486-1950
(713) 486-0858
Mailing address
1941 EAST RD, HOUSTON, TX 77054-6010
(713) 486-2700
(713) 486-2721
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34346
TX
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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