TARA LEE LARSON

ANTIOCH, CA
NPI1447436373
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC2200X Psychologist, Clinical Child & Adolescent
Enumeration Date2008-01-10
Last Update Date2008-01-10
Business Address
-- TARA LEE LARSON
509 W 10TH ST
ANTIOCH, CA 94509-1653
Phone number: 925-777-9540
Mailing Address
-- TARA LEE LARSON
509 W 10TH ST
ANTIOCH, CA 94509-1653
Phone number:
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