Individual
ERIN LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 TOWNER ST, YPSILANTI, MI 48198-5723
(734) 544-3000
(734) 544-4616
Mailing address
555 TOWNER ST, YPSILANTI, MI 48198-5723
(734) 544-3000
(734) 544-4616
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802089922
MI
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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