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Individual

MS. MARLYS J LARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW, MSW

Contact information

Practice address
2981 S. ORILLA RD., CUMMING, IA 50061
(515) 981-0869
Mailing address
2981 S ORILLA RD, CUMMING, IA 50061-7502
(515) 981-0869

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
00112
IA
1041C0700X
Clinical Social Worker
Primary
00112
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
96958
IA
Enumeration date
03/29/2006
Last updated
06/30/2025
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