Individual
BETH A LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 E MAIN ST, MANKATO, MN 56001-3574
(952) 401-9359
Mailing address
PO BOX 143, MANKATO, MN 56002-0143
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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