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1437868890
JESSICA C LARSEN
SHEBOYGAN, WI
NPI
1437868890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 12089-123)
Enumeration Date
2022-11-15
Last Update Date
2025-01-07
Business Address
JESSICA C LARSEN LCSW
3425 SUPERIOR AVE
SHEBOYGAN, WI 53081-1863
Phone number: 920-496-4700
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Mailing Address
JESSICA C LARSEN LCSW
PO BOX 19070
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700
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