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Individual

MRS. MEGAN ROSE LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
555 JEFFERSON ST STE 301, PADUCAH, KY 42001-1088
(971) 334-1940
Mailing address
2780 NEW HOLT RD STE D, # 373, PADUCAH, KY 42001-7441
(971) 334-1940

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10791
OR

Other

Enumeration date
01/19/2017
Last updated
02/18/2022
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