Individual
NESERIANI LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
601 GRAND AVE, DES MOINES, IA 50309-2501
(515) 237-5045
Mailing address
3912 80TH ST, URBANDALE, IA 50322-2416
(815) 383-0307
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
082662
IA
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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