LISA K LARSEN

CHUBBUCK, ID
NPI1689423121
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-44463)
Enumeration Date2024-05-16
Last Update Date2024-05-16
Business Address
LISA K LARSEN LMSW
265 E CHUBBUCK RD
CHUBBUCK, ID 83202-5055
Phone number: 208-237-1711
Mailing Address
LISA K LARSEN LMSW
265 E CHUBBUCK RD
CHUBBUCK, ID 83202-5055
Phone number: 208-237-1711
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