Individual
BILLIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
927 TRETTEL LN, CLOQUET, MN 55720-1345
(218) 879-1227
Mailing address
927 TRETTEL LN, CLOQUET, MN 55720-1345
(218) 879-1227
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1700
MN
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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