Individual
MS. DANIELLE IONE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2595 N CRAMER ST APT 204, MILWAUKEE, WI 53211-3914
(507) 995-7356
Mailing address
2595 N CRAMER ST APT 204, MILWAUKEE, WI 53211-3914
(507) 995-7356
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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