Individual
MRS. ANITA LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
300 6TH ST SW, LITTLE FALLS, MN 56345-1543
(320) 616-6235
Mailing address
1001 5TH AVE SE, LITTLE FALLS, MN 56345-3357
(320) 632-2003
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2790
MN
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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