Individual
MRS. RACHEL MALLORN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1212 8TH ST STE 3, BARABOO, WI 53913-1875
(606) 434-5145
(608) 355-0755
Mailing address
510 4TH AVE, BARABOO, WI 53913-2033
(608) 434-3402
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
132608-121
WI
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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