Individual
ELISE LARSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1487
Mailing address
PO BOX 3838, POCASSET, MA 02559-3838
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW01941
RI
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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