TED LARRISON

JASPER, IN
NPI1568452449
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34002429A)
Enumeration Date2005-10-24
Last Update Date2007-07-08
Business Address
-- TED LARRISON LCSW, CEAP
480 EVERSMAN DR
JASPER, IN 47546-3548
Phone number: 812-482-3020
Mailing Address
-- TED LARRISON LCSW, CEAP
PO BOX 769
JASPER, IN 47547-0769
Phone number: 812-482-3020
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