Individual
SOPHIA CLAIRE LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 W ELDER ST STE 300, BOISE, ID 83705-4986
(208) 286-1529
Mailing address
3485 E PLYMPTON DR, MERIDIAN, ID 83642-9017
(208) 954-9600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8171969
ID
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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