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1902480676
KELLY LYN LARSEN
LIVINGSTON, TX
NPI
1902480676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 77195)
Enumeration Date
2021-05-10
Last Update Date
2021-05-10
Business Address
KELLY LYN LARSEN
2200 S WASHINGTON AVE
LIVINGSTON, TX 77351-4058
Phone number: 936-933-2770
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Mailing Address
KELLY LYN LARSEN
555 DICKENS LANDING DR
LIVINGSTON, TX 77351-1267
Phone number: 936-933-2770
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