KIMBERLY DEANNE LARSEN

MEDFORD, OR
NPI1265202329
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-01-08
Last Update Date2024-01-08
Business Address
KIMBERLY DEANNE LARSEN
200 BEATTY ST
MEDFORD, OR 97501-5811
Phone number: 541-476-2373
Mailing Address
KIMBERLY DEANNE LARSEN
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373