Individual
ALYSSA LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
403 MANKATO AVE, WINONA, MN 55987-4536
(068) 780-5902
Mailing address
1159 GILMORE AVE, WINONA, MN 55987-2489
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24412
MN
1041C0700X
Clinical Social Worker
—
MN
Other
Enumeration date
05/31/2022
Last updated
10/09/2024
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