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Individual

ERIC MELLOR LARSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5308 NORTHSTAR ST, ANCHORAGE, AK 99518
(801) 719-8333
Mailing address
5308 NORTHSTAR ST, ANCHORAGE, AK 99518
(801) 719-8333

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
06/25/2012
Last updated
06/25/2012
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