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
ZIP Code
99122-8654
Phone
(509) 725-3001

Specialties & Taxonomy Codes

Specialty
Counselor

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