MELISSA LARSON

SOMONAUK, IL
NPI1699392001
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149022152)
Enumeration Date2020-07-01
Last Update Date2020-07-01
Business Address
MELISSA LARSON
400 E NORTH ST
SOMONAUK, IL 60552-3162
Phone number: 815-579-4581
Mailing Address
MELISSA LARSON
400 E NORTH ST
SOMONAUK, IL 60552-3162
Phone number: 815-579-4581