Individual
MR. MICHAEL LARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
187 W BROAD ST, SPARTANBURG, SC 29306-3234
(864) 707-2840
Mailing address
187 W BROAD ST, SPARTANBURG, SC 29306-3234
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/28/2016
Last updated
04/09/2019
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