Individual
FAITH LEMON LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2405 CASA GRANDE DR, LEAGUE CITY, TX 77573-1472
(832) 425-1342
Mailing address
2405 CASA GRANDE DR, LEAGUE CITY, TX 77573-1472
(832) 425-1342
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
68686
TX
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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