Individual
JULIE GIFFORD LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MAC, SAP
Contact information
Practice address
105 S COLLEGE ST, WINCHESTER, TN 37398-1517
(931) 967-6323
(931) 967-6321
Mailing address
161 OAK LEAF CIR, WINCHESTER, TN 37398-3538
(931) 967-6351
(931) 967-6321
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW4220
TN
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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