Individual
JENNIFER ALMA LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 10TH ST SE, SUITE 201, LE MARS, IA 51031-2559
(712) 546-4624
Mailing address
6242 265TH ST, IDA GROVE, IA 51445-8155
(712) 898-4282
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/11/2012
Last updated
10/19/2022
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