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1063637940
LORI LYNN LARSON
DIAMOND SPRINGS, CA
NPI
1063637940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT36109)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
Mrs. LORI LYNN LARSON MFT
6692 MERCHANDISE WAY STE. B
DIAMOND SPRINGS, CA 95619-9453
Phone number: 530-626-2589
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Mailing Address
Mrs. LORI LYNN LARSON MFT
PO BOX 1655
GEORGETOWN, CA 95634-1655
Phone number: 530-417-5308
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