Individual
CHRISTINE ANN LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
N5025 JOE CORN DR, IRON MOUNTAIN, MI 49801-9543
(906) 774-4732
Mailing address
N5025 JOE CORN DR, IRON MOUNTAIN, MI 49801-9543
(906) 774-4732
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802062798
MI
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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