Angela G Larson
NPI #1063010130 in Davenport, Washington
Provider Information
- NPI Number
- 1063010130
- Entity Type
- Individual
- Name
- Angela G Larson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Oct 12, 2020
- Last Updated
- Oct 12, 2020
Practice Location
- Address
- 1211 MERRIAM ST
- City
- Davenport
- State
- Washington
- ZIP Code
- 99122-8654
- Phone
- (509) 725-3001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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