Individual
ALYSSA LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 11TH ST NE, WATERTOWN, SD 57201-1833
(605) 882-6399
Mailing address
601 11TH ST NE, WATERTOWN, SD 57201-1833
(605) 882-6399
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
69808-1
SD
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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