JOHN PAUL LARSON

FOND DU LAC, WI
NPI1619520251
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  18138-130)
Enumeration Date2019-07-23
Last Update Date2019-07-23
Business Address
Mr. JOHN PAUL LARSON SAC-IT
430 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-4172
Mailing Address
Mr. JOHN PAUL LARSON SAC-IT
430 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-4172
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