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1073391124
LARISSA THEISON
KANSAS CITY, MO
NPI
1073391124
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Former Name
LARISSA HAGGARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2010039062)
Enumeration Date
2023-09-19
Last Update Date
2023-09-19
Business Address
LARISSA THEISON LCSW, LSCSW
4909 HARKNESS AVE
KANSAS CITY, MO 64136-1326
Phone number: 816-916-5001
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Mailing Address
LARISSA THEISON LCSW, LSCSW
4909 HARKNESS AVE
KANSAS CITY, MO 64136-1326
Phone number: 816-916-5001
Copy
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