Individual
JANE ELIZABETH LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 N 34TH ST, SUITE 200, SUPERIOR, WI 54880-4477
(715) 392-8216
(715) 392-6055
Mailing address
1500 N 34TH ST, SUITE 200, SUPERIOR, WI 54880-4477
(715) 392-8216
(715) 392-6055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
130527
WI
1041C0700X
Clinical Social Worker
25873
MN
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
08/08/2013
Last updated
02/16/2017
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