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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