Individual
DANIELLE JO LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
900 SKOKIE BLVD STE 218, NORTHBROOK, IL 60062-4043
(847) 668-4295
Mailing address
900 SKOKIE BLVD STE 218, NORTHBROOK, IL 60062-4043
(847) 668-4295
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149021146
IL
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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