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1952440489
ROBERTA G. LARSON
PLYMOUTH, MN
NPI
1952440489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MN 05177)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
Mrs. ROBERTA G. LARSON L.I.C.S.W.
14502 COUNTY ROAD 6
PLYMOUTH, MN 55447-4555
Phone number: 763-591-0169
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Mailing Address
Mrs. ROBERTA G. LARSON L.I.C.S.W.
14502 COUNTY ROAD 6
PLYMOUTH, MN 55447-4555
Phone number: 763-591-0169
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