Individual
MICHELE LENETTE LARKIN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 LITTLE CANADA RD E, LITTLE CANADA, MN 55117-1325
(612) 489-5899
Mailing address
1114 JESSIE ST, SAINT PAUL, MN 55130-3720
(612) 940-8198
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23329
MN
1041C0700X
Clinical Social Worker
23329
MN
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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