Individual
MR. DANIEL LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
5151WEST SILVER SPRING DRIVE, MILWAUKEE, WI 53218
(414) 871-6122
(414) 871-2552
Mailing address
4929 N. FOND DU LAC AVENUE, MILWAUKEE, WI 53216
(414) 871-6122
(414) 871-2552
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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