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Individual

KATHRYN LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC, ADTR, MT-BC

Contact information

Practice address
800 E 28TH ST, INTERNAL ZIP 12401, MINNEAPOLIS, MN 55407-3723
(612) 863-4599
Mailing address
4636 YORK AVE S, MINNEAPOLIS, MN 55410-1866
(612) 929-0681

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC00591
MN

Other

Enumeration date
11/03/2008
Last updated
11/03/2008
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