Individual
MRS. JENNY MARIE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2019 SCHIRBER DR, MOBRIDGE, SD 57601-1225
(605) 290-9491
Mailing address
2019 SCHIRBER DR, MOBRIDGE, SD 57601-1225
(605) 290-9491
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC20675
SD
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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