Individual
MS. PATRICIA LINNEA LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2284 RALEIGH CT STE A, CLARKSVILLE, TN 37043-1945
(865) 455-9236
Mailing address
540 N 2ND ST UNIT 207, CLARKSVILLE, TN 37040-3191
(865) 455-9236
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
1-16-23367
TN
Other
Enumeration date
10/28/2016
Last updated
12/02/2018
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