Individual
ELIZABETH A LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1900 8TH AVE SE, MINOT, ND 58701-4935
(701) 857-5998
(701) 857-5022
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 418-8000
(701) 857-5031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1853
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19101
—
ND
Enumeration date
10/16/2006
Last updated
12/28/2023
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