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1235378183
LORA M LARSON
STOCKTON, CA
NPI
1235378183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 21294)
Enumeration Date
2009-02-17
Last Update Date
2009-02-17
Business Address
-- LORA M LARSON ASW
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-2385
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Mailing Address
-- LORA M LARSON ASW
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-2385
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