Individual
ALEXA LEIGH LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 4TH ST S, MOORHEAD, MN 56560-3357
(218) 443-5879
Mailing address
1010 4TH ST S, MOORHEAD, MN 56560-3357
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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