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1336706605
DANIELLE LARSON
MYRTLE BEACH, SC
NPI
1336706605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-22
Last Update Date
2019-05-22
Business Address
DANIELLE LARSON LMSW
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579-7335
Phone number: 843-903-6212
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Mailing Address
DANIELLE LARSON LMSW
407 4TH AVE N APT E
MYRTLE BEACH, SC 29577-4000
Phone number: 785-220-2943
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