Individual
CAMALLA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38 E WASHINGTON ST, STE 3, KALISPELL, MT 59901-3974
(406) 871-1243
Mailing address
38 E WASHINGTON ST, STE 3, KALISPELL, MT 59901-3974
(406) 871-1243
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
10401-C
NV
Other
Enumeration date
08/08/2013
Last updated
09/26/2023
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