Individual
MS. IRMA MARGARITA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFCC
Contact information
Practice address
1972 THE ALAMEDA, SAN JOSE, CA 95126
(408) 296-0936
(408) 279-4849
Mailing address
1972 THE ALAMEDA, SAN JOSE, CA 95126
(408) 296-0936
(408) 279-4849
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LMFC13374
CA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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