Individual
MRS. CLAUDETTE M LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
640 ATLANTIC AVE, BENSON, MN 56215
(320) 843-3454
Mailing address
640 ATLANTIC AVENUE, BENSON, MN 56215
(320) 843-3454
(320) 843-4692
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16765
MN
1041C0700X
Clinical Social Worker
16765
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046D1CA
BCBS
MN
01
—
1050870
BHP PREFERRED ONE
MN
01
—
152193
UCARE
MN
01
—
411910086
CORP HEALTH
MN
01
—
600074381
MAGELLAN
MN
01
—
6984497
UBH
MN
05
—
76660100
—
MN
01
—
HP78786
HEALTH PARTNERS
MN
Enumeration date
02/02/2007
Last updated
09/13/2011
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