LISA VICTORIA LARSON

KINGS PARK, NY
NPI1396117776
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  083324-1)
Enumeration Date2015-10-26
Last Update Date2015-10-26
Business Address
-- LISA VICTORIA LARSON LCSW
425 KOHR RD
KINGS PARK, NY 11754-1216
Phone number: 516-359-2777
Mailing Address
-- LISA VICTORIA LARSON LCSW
425 KOHR RD
KINGS PARK, NY 11754-1216
Phone number: 516-359-2777
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