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1124376306
LISA DIANNE LARSON
LANSING, MI
NPI
1124376306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801058069)
Enumeration Date
2012-08-21
Last Update Date
2016-04-14
Business Address
Ms. LISA DIANNE LARSON LMSW, ACSW
3400 S CEDAR ST SUITE 201
LANSING, MI 48910-4676
Phone number: 517-887-2762
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Mailing Address
Ms. LISA DIANNE LARSON LMSW, ACSW
1613 ALPHA ST
LANSING, MI 48910-1801
Phone number: 517-881-9563
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