Individual
MS. JULIE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LISW
Contact information
Practice address
2404 FOREST DR STE 250, DES MOINES, IA 50312-5400
(917) 309-6145
Mailing address
3317 ELMWOOD DR, DES MOINES, IA 50312-4323
(917) 309-6145
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
73076901
NY
1041C0700X
Clinical Social Worker
84970
IA
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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