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1174614408
SANDRA L LARSON
HUDSON, WI
NPI
1174614408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 1385125)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
-- SANDRA L LARSON LPC
401 STAGELINE RD
HUDSON, WI 54016-7897
Phone number: 715-531-6760
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Mailing Address
-- SANDRA L LARSON LPC
1023 OAK ST
HUDSON, WI 54016-1435
Phone number: 715-386-9846
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