Individual
SUZANNE ELAINE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
111 CHURCH ST, LACONIA, NH 03246-3432
(603) 524-1100
Mailing address
14 ACADEMY ST, CONCORD, NH 03301-4219
(206) 948-3130
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG 60126544
WA
Other
Enumeration date
01/18/2008
Last updated
09/14/2010
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