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1134259112
BETH A LARSON
MAPLE GROVE, MN
NPI
1134259112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MN LP3421)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
-- BETH A LARSON LP (psychologist)
7225 FORESTVIEW LN N
MAPLE GROVE, MN 55369-5501
Phone number: 612-824-0974
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Mailing Address
-- BETH A LARSON LP (psychologist)
4900 RUSSELL AVE S
MINNEAPOLIS, MN 55410-1915
Phone number: 612-824-0974
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