MRS. Lori Lynn Larson, MFT

NPI #1063637940 in Diamond Springs, California

Provider Information

NPI Number
1063637940
Entity Type
Individual
Name
MRS. Lori Lynn Larson, MFT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Marriage & Family Therapist
Credential
MFT
Enumeration Date
Apr 16, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
6692 MERCHANDISE WAY
Address 2
STE. B
ZIP Code
95619-9453
Phone
(530) 626-2589

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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