Individual
MS. HEIDI MALIA LARSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1048 W JAMES ST STE 101, KENT, WA 98032-4600
(206) 715-9223
Mailing address
24658 8TH AVE S, DES MOINES, WA 98198-3854
(206) 715-9223
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CP00006265
—
101Y00000X
Counselor
Primary
LH00011147
WA
Other
Enumeration date
02/12/2010
Last updated
06/27/2013
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