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Individual

NORA LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LICSW

Contact information

Practice address
3050 SE DIVISION ST STE 205, PORTLAND, OR 97202-1997
(612) 839-5261
Mailing address
3050 SE DIVISION ST STE 205, PORTLAND, OR 97202-1997

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
61095839
WA
1041C0700X
Clinical Social Worker
Primary
L8009
OR

Other

Enumeration date
05/27/2022
Last updated
05/27/2022
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