LILY ROSE LARSON

BLOOMINGTON, MN
NPI1932722592
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN  305897)
Enumeration Date2020-05-18
Last Update Date2020-12-14
Business Address
LILY ROSE LARSON
1101 E 78TH ST
BLOOMINGTON, MN 55420-1400
Phone number: 952-234-6860
Mailing Address
LILY ROSE LARSON
5790 145TH CT NW
RAMSEY, MN 55303-5684
Phone number:
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