Individual
DIONE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
1295 BANDANA BLVD N, SUITE 142, SAINT PAUL, MN 55108-5126
(651) 641-7062
(651) 641-7196
Mailing address
1021 BANDANA BLVD E, SUITE 200, SAINT PAUL, MN 55108-5113
(651) 642-2700
(651) 642-9441
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3090
MN
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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