MR. Kurt Dominick Larose, LCSW, LICSW
NPI #1023221967 in Perryville, Missouri
Provider Information
- NPI Number
- 1023221967
- Entity Type
- Individual
- Name
- MR. Kurt Dominick Larose, LCSW, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW, LICSW
- Enumeration Date
- May 7, 2007
- Last Updated
- Feb 24, 2022
Practice Location
- Address
- 12 N KINGS HWY STE 101
- City
- Perryville
- State
- Missouri
- ZIP Code
- 63775-1367
- Phone
- (573) 547-3116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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