GORDON LEE LARSEN

MILWAUKEE, WI
NPI1750520524
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: WI  50-057)
Enumeration Date2009-02-18
Last Update Date2009-02-18
Business Address
DR. GORDON LEE LARSEN PH. D
2600 N MAYFAIR RD STE 785
MILWAUKEE, WI 53226-1327
Phone number: 414-258-5704
Mailing Address
DR. GORDON LEE LARSEN PH. D
2600 N MAYFAIR ROAD SUITE 785
MILWAUKEE, WI 53226-1327
Phone number: 414-258-5704