Individual
JAIME LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MA
Contact information
Practice address
13035 W BLUEMOUND RD STE 100, BROOKFIELD, WI 53005-8001
(262) 244-0729
Mailing address
13035 W BLUEMOUND RD STE 100, BROOKFIELD, WI 53005-8001
(262) 244-0729
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
04/29/2025
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