Individual
MRS. ALLYSON MARIE LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
200 HAWKINS DR, C124 GH, IOWA CITY, IA 52242-1009
(319) 353-6860
Mailing address
601 KAY DR, OXFORD, IA 52322-9260
(507) 525-4546
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007878
IA
Other
Enumeration date
10/18/2011
Last updated
10/18/2013
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