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Individual

OKSANA LARSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
100 W OVERLAND RD STE 201, MERIDIAN, ID 83642-3053
(208) 614-0990
Mailing address
107 S 7TH ST W, HOMEDALE, ID 83628-3309
(208) 447-7323

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-8911198
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LCSW-8911198
DOPL
ID
01
LMSW-43037
IDAHO STATE BOARD OF SOCIAL WORK EXAMINERS
ID
Enumeration date
01/26/2023
Last updated
10/06/2025
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