DIANTHA JEAN LARSON

WATERTOWN, SD
NPI1669467577
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SD  3085)
Enumeration Date2005-09-16
Last Update Date2007-07-08
Business Address
Mrs. DIANTHA JEAN LARSON CCDC T
123 19TH ST NE
WATERTOWN, SD 57201-2823
Phone number: 605-886-0123
Mailing Address
Mrs. DIANTHA JEAN LARSON CCDC T
PO BOX 1030
WATERTOWN, SD 57201-6030
Phone number: 605-886-0123
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