Individual
MS. NANCY NEAL LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
75 WASHINGTON AVE, PORTLAND, ME 04101-2665
(207) 973-2491
(207) 973-2494
Mailing address
75 WASHINGTON AVE, PORTLAND, ME 04101-2665
(207) 973-2491
(207) 973-2494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC1587
ME
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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