Organization
BERGMAN LARSON CONSULTING LLC
Active
Other names
Krista M Larson MSW, LICSW
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA M LARSON MSW, LICSW (OWNER/CLINICAL SOCIAL WORKER)
(507) 301-1982
Entity
Organization
Contact information
Practice address
402 WASHINGTON ST N, NORTHFIELD, MN 55057-5190
(507) 301-1982
Mailing address
402 WASHINGTON ST N, NORTHFIELD, MN 55057-5190
(507) 301-1982
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
787623800
—
MN
Enumeration date
07/13/2020
Last updated
07/13/2020
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