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Individual

DEVAN LARSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT-I

Contact information

Practice address
20526 MUTT CT, BEND, OR 97701-7935
(714) 478-3288
Mailing address
20526 MUTT CT, BEND, OR 97701-7935
(714) 478-3288

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
R6321
OR

Other

Enumeration date
06/22/2020
Last updated
06/22/2020
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