Individual
CAROL LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
55 BASIN CREEK RD, BUTTE, MT 59701-9704
(406) 496-6314
(406) 494-1724
Mailing address
1230 S 2ND AVE, PLAINS, MT 59859-0638
(406) 826-8600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1054
MT
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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