Individual
MR. MICHAEL ANDREW LARKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAPSW
Contact information
Practice address
815 REBER ST, GREEN BAY, WI 54302-1116
(920) 438-0056
Mailing address
815 REBER ST, GREEN BAY, WI 54302-1116
(920) 438-0056
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
127420121
WI
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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