Individual
LARISSA JANE MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3955 56TH ST S STE D, FARGO, ND 58104-4845
(701) 417-7500
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4506
ND
Other
Enumeration date
02/16/2020
Last updated
01/04/2023
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