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Individual

CELINA ULULANI LARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1009 HIGHWAY 2 STE E, SANDPOINT, ID 83864-2736
(208) 304-8918
(208) 625-2064
Mailing address
PO BOX 1945, SANDPOINT, ID 83864-0905
(208) 304-8918
(208) 625-2064

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-35425
ID
1041C0700X
Clinical Social Worker
LMSW-33053
ID
1041C0700X
Clinical Social Worker
LW61051416
WA

Other

Enumeration date
09/24/2013
Last updated
12/21/2023
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