Organization
KURT LAROSE MSW LCSW
Active
Organization
KURT LAROSE MSW LCSW
Active
Other names
(TalkifUwant.com)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT DOMINICK LAROSE LCSW LICSW (SOLE PROPRIETOR)
(850) 545-2886
Entity
Organization
Contact information
Practice address
1701 E HARVEST CIR, PERRYVILLE, MO 63775-9330
(850) 545-2886
Mailing address
1701 E HARVEST CIR, PERRYVILLE, MO 63775-9330
(850) 545-2886
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9297
FL
261QM0850X
Adult Mental Health Clinic/Center
LC50081569
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12243893
CAQH
FL
Enumeration date
05/16/2014
Last updated
02/24/2022
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