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JONATHAN MATTHEW LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
100 S MAIN ST STE 505, WICHITA, KS 67202-3738
(316) 688-8390
Mailing address
110 N 127TH ST E APT 1231, WICHITA, KS 67206-2772
(310) 748-0355

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
03266
KS

Other

Enumeration date
07/12/2024
Last updated
01/04/2025
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