Individual
BRYNN S LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A. PSYCHOLOGY
Contact information
Practice address
1001 S RAISINVILLE RD, MONROE, MI 48161-9754
(734) 384-0138
Mailing address
10715 DAY RD, DUNDEE, MI 48131-9744
(734) 384-0138
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/19/2013
Last updated
04/19/2013
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