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1003504788
MICHELE J. LARSON
MANKATO, MN
NPI
1003504788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 27669)
Enumeration Date
2023-05-01
Last Update Date
2023-05-01
Business Address
MICHELE J. LARSON MSW, LICSW
104 SERRA ST
MANKATO, MN 56001-9244
Phone number: 608-577-5742
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Mailing Address
MICHELE J. LARSON MSW, LICSW
104 SERRA ST
MANKATO, MN 56001-9244
Phone number: 608-577-5742
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