LORI ANN LARSON

MODESTO, CA
NPI1255687190
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-07-30
Last Update Date2014-10-07
Business Address
Miss LORI ANN LARSON
1235 MCHENRY AVE
MODESTO, CA 95350-5370
Phone number: 209-521-0063
Mailing Address
Miss LORI ANN LARSON
2004 SEQUOIA ST
CERES, CA 95307-2531
Phone number: 209-538-8368