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Individual
LARRY GERARD DAUKSAVAGE
Active
Individual
LARRY GERARD DAUKSAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3176
ND
1041C0700X
Clinical Social Worker
Primary
3176
ND
Other
Enumeration date
11/07/2006
Last updated
10/09/2024
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