Individual
ABBY LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1400 WARREN ST APT A35, MANKATO, MN 56001-6907
(507) 382-9403
Mailing address
1400 WARREN ST APT A35, MANKATO, MN 56001-6907
(507) 382-9403
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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