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Individual
MS. LISA D LARSON
Active
Individual
MS. LISA D LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, ACSW, CAADC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801058069
MI
Other
Enumeration date
08/21/2012
Last updated
03/19/2025
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