CRAIG RUSSELL LARSON

DOWNERS GROVE, IL
NPI1730250937
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149-003516)
Enumeration Date2006-11-11
Last Update Date2007-07-08
Business Address
Mr. CRAIG RUSSELL LARSON LCSW
1807 NORTHBRIDGE PL
DOWNERS GROVE, IL 60516-3186
Phone number: 630-969-1756
Mailing Address
Mr. CRAIG RUSSELL LARSON LCSW
1807 NORTHBRIDGE PL
DOWNERS GROVE, IL 60516-3186
Phone number: 630-969-1756
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