Individual
MR. ERIK DEVRIES LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
207 WESTPORT RD, KANSAS CITY, MO 64111-2284
(816) 508-6226
Mailing address
520 E 61ST ST, KANSAS CITY, MO 64110-3052
(816) 305-7466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2005041011
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490340908
—
MO
Enumeration date
11/29/2006
Last updated
02/04/2015
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