Individual
MRS. SHEILA DARLENE LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B. A.
Contact information
Practice address
704 HIGHWAY 100 STE 101, CENTERVILLE, TN 37033-1172
(931) 792-3573
(931) 792-9330
Mailing address
116 KITTRELL RD, HAMPSHIRE, TN 38461-5017
(931) 796-5916
(193) 179-6128
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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