JOSEPH CONRAD LARSEN

AMERICUS, GA
NPI1568102978
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-04-01
Last Update Date2022-04-01
Business Address
JOSEPH CONRAD LARSEN
415 N JACKSON ST
AMERICUS, GA 31709-3015
Phone number: 229-815-5454
Mailing Address
JOSEPH CONRAD LARSEN
415 N JACKSON ST
AMERICUS, GA 31709-3015
Phone number: 229-815-5454
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