Individual
AMY LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9709 E BINKLEY RD, STOCKTON, IL 61085-9073
(815) 541-8123
Mailing address
9709 E BINKLEY RD, STOCKTON, IL 61085-9073
(815) 541-8123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149013390
IL
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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