DAVID LARSON

MAPLE GROVE, MN
NPI1912329301
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN  300922)
Enumeration Date2014-01-20
Last Update Date2014-02-11
Business Address
MR. DAVID LARSON LADC
13603 80TH CIR N
MAPLE GROVE, MN 55369-8961
Phone number: 763-416-1489
Mailing Address
MR. DAVID LARSON LADC
1900 SILVER LAKE RD NW SUITE 110
NEW BRIGHTON, MN 55112-1786
Phone number: 651-379-1718
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