Individual
MARY LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-AP
Contact information
Practice address
600 COLONEL DR, GARLAND, TX 75043-2302
(972) 926-2700
(972) 926-2727
Mailing address
501 S JUPITER RD, GARLAND, TX 75042-7108
(972) 487-3167
(972) 485-4930
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
17921
TX
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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