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Individual

CASSI LYNN LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12 N WOODINGTON RD APT A2, BALTIMORE, MD 21229-3556
(301) 957-4367
Mailing address
12 N WOODINGTON RD APT A2, BALTIMORE, MD 21229-3556
(301) 957-4367

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
L625108564528
MD

Other

Enumeration date
07/01/2026
Last updated
07/01/2026
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