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1881794535
THERESA M. LARSON
SAINT LOUIS, MO
NPI
1881794535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 002139)
Enumeration Date
2006-09-23
Last Update Date
2007-07-09
Business Address
-- THERESA M. LARSON LPC
10004 KENNERLY RD SUITE 362B
SAINT LOUIS, MO 63128-2141
Phone number: 314-849-0450
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Mailing Address
-- THERESA M. LARSON LPC
6310 N LAKESHORE DR
HOUSE SPRINGS, MO 63051-1122
Phone number: 314-805-4261
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