ERIC PETER LARSON

COLVILLE, WA
NPI1629434733
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  CG60615815)
Enumeration Date2016-01-05
Last Update Date2016-01-05
Business Address
-- ERIC PETER LARSON
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
Mailing Address
-- ERIC PETER LARSON
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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