Individual
KATHERINE PRISCILLA LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 ROCKEFELLER AVE STE 140, EVERETT, WA 98201-1682
(425) 261-4210
Mailing address
1330 ROCKEFELLER AVE STE 140, EVERETT, WA 98201-1682
(425) 261-4210
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11875
TN
104100000X
Social Worker
Primary
LW61584102
WA
1041C0700X
Clinical Social Worker
11875
TN
Other
Enumeration date
05/16/2023
Last updated
04/09/2025
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