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1447957873
STACEY LARSEN
WAUSAU, WI
NPI
1447957873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 7257-226)
Enumeration Date
2023-02-15
Last Update Date
2023-02-15
Business Address
STACEY LARSEN LPC-IT
227400 RIB MOUNTAIN DR
WAUSAU, WI 54401-5048
Phone number: 715-301-0667
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Mailing Address
STACEY LARSEN LPC-IT
3310 TAPPE DR
WESTON, WI 54476-6664
Phone number: 715-393-5920
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