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1699392001
MELISSA LARSON
SOMONAUK, IL
NPI
1699392001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149022152)
Enumeration Date
2020-07-01
Last Update Date
2020-07-01
Business Address
MELISSA LARSON
400 E NORTH ST
SOMONAUK, IL 60552-3162
Phone number: 815-579-4581
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Mailing Address
MELISSA LARSON
400 E NORTH ST
SOMONAUK, IL 60552-3162
Phone number: 815-579-4581
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