Individual
CASEY MARIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
421 1ST AVE SW STE 300W, ROCHESTER, MN 55902-3389
(507) 722-1139
Mailing address
421 1ST AVE SW STE 300W, ROCHESTER, MN 55902-3389
(507) 722-1139
(888) 682-9905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
18054
MN
Other
Enumeration date
05/23/2020
Last updated
08/03/2020
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