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Individual

INGRID LISSETTE LARA RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2400 NE 95TH ST, SEATTLE, WA 98115-2426
(206) 525-5050
Mailing address
4744 12TH AVE NE APT 311, SEATTLE, WA 98105-4494
(707) 294-5983

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/22/2020
Last updated
09/22/2020
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