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1730250937
CRAIG RUSSELL LARSON
DOWNERS GROVE, IL
NPI
1730250937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-003516)
Enumeration Date
2006-11-11
Last Update Date
2007-07-08
Business Address
Mr. CRAIG RUSSELL LARSON LCSW
1807 NORTHBRIDGE PL
DOWNERS GROVE, IL 60516-3186
Phone number: 630-969-1756
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Mailing Address
Mr. CRAIG RUSSELL LARSON LCSW
1807 NORTHBRIDGE PL
DOWNERS GROVE, IL 60516-3186
Phone number: 630-969-1756
Copy
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