Individual
ASHILEE ANN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
1102 7TH AVE E, WILLISTON, ND 58801-4450
(701) 572-7262
Mailing address
PO BOX 2291, WILLISTON, ND 58802-2291
(701) 577-0270
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4372
ND
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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