GARY LARSON

SAINT PAUL, MN
NPI1972678969
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2006-11-22
Last Update Date2007-07-08
Business Address
-- GARY LARSON
180 GROTTO ST S
SAINT PAUL, MN 55105-3505
Phone number: 651-224-1395
Mailing Address
-- GARY LARSON
4846 MOON LAKE CIR
SAINT PAUL, MN 55127-7049
Phone number: