Individual
DEVERA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2495 RALEIGH ST, DENVER, CO 80212-1248
(303) 433-4086
Mailing address
2495 RALEIGH ST, DENVER, CO 80212-1248
(303) 433-4086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15
CO
Other
Enumeration date
03/28/2007
Last updated
03/04/2008
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