Individual
LARA PASTERNAK ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1085 STONEHAM ST, SUPERIOR, CO 80027-8146
(303) 870-1946
Mailing address
1085 STONEHAM ST, SUPERIOR, CO 80027-8146
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
9923603
CO
Other
Enumeration date
01/11/2007
Last updated
10/16/2014
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