Individual
CARMEN SHANNON LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5900 BALCONES DR # 16280, AUSTIN, TX 78731-4257
(888) 458-5199
Mailing address
8156 111TH AVE SE, OAKES, ND 58474-9768
(701) 412-4656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904017959
VA
1041C0700X
Clinical Social Worker
109223
TX
Other
Enumeration date
09/30/2024
Last updated
02/15/2025
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