Individual
DIANE M LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14144 NEPHRON LN, HUDSON, FL 34667-6504
(727) 251-3832
(727) 251-3832
Mailing address
800 CHESAPEAKE DR LOT 18, TARPON SPRINGS, FL 34689-2504
(727) 940-6055
(727) 940-6055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW4178
FL
Other
Enumeration date
04/11/2007
Last updated
05/20/2013
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