Individual
ALTAGRACIA MARLENE LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
895 BLUE HILL AVE, DORCHESTER, MA 02124-2902
(617) 506-8188
Mailing address
6 NOYES TER, LYNN, MA 01902-1641
(781) 228-1493
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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