Individual
KATHARINE ANNE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
40 BROADWAY, NORWICH, CT 06360-5702
(860) 887-6536
(860) 885-1970
Mailing address
40 BROADWAY, NORWICH, CT 06360-5702
(860) 887-6536
(860) 885-1970
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001452
CT
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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