Individual
MRS. BETH ANNE LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
675 E 16TH ST, HOLLAND, MI 49423-3786
(616) 405-6288
(616) 846-6124
Mailing address
12840 TIMBERLINE AVE, GRAND HAVEN, MI 49417-8334
(616) 846-6124
(616) 846-6124
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801087819
MI
Other
Enumeration date
04/10/2008
Last updated
04/22/2008
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