Individual
MRS. EVELYN LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
307 S 13TH ST, SUITE 200, MOUNT VERNON, WA 98274-4100
(360) 848-8500
(206) 764-2062
Mailing address
307 S 13TH ST, SUITE 200, MOUNT VERNON, WA 98274-4100
(360) 848-8500
(206) 764-2062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC500784794
DC
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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