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1558700120
ERIC CHRISTOPHER LARSON
COON RAPIDS, MN
NPI
1558700120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 19647)
Enumeration Date
2013-06-17
Last Update Date
2013-06-17
Business Address
-- ERIC CHRISTOPHER LARSON MSW, LICSW
1930 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433-4708
Phone number: 763-427-7964
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Mailing Address
-- ERIC CHRISTOPHER LARSON MSW, LICSW
1930 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433-4708
Phone number: 763-427-7964
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