Individual
DR. WILLIAM WALTER LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
525 ITASCA ST, GRAND RAPIDS, MN 55744-2965
(218) 327-2295
(218) 327-2295
Mailing address
525 ITASCA ST, GRAND RAPIDS, MN 55744-2965
(218) 327-2295
(218) 327-2295
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0562
MN
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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