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1649640533
KEITH LARSEN
OTTAWA, KS
NPI
1649640533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: KS T-LPC 2786)
Enumeration Date
2015-10-05
Last Update Date
2015-10-05
Business Address
KEITH LARSEN T-LPC
2537 EISENHOWER RD
OTTAWA, KS 66067-9482
Phone number: 785-242-3780
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Mailing Address
KEITH LARSEN T-LPC
PO BOX 677
OTTAWA, KS 66067-0677
Phone number: 785-242-3780
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