MR. Jeffrey Gerard Larson
NPI #1154657245 in Saint Charles, Illinois
Provider Information
- NPI Number
- 1154657245
- Entity Type
- Individual
- Name
- MR. Jeffrey Gerard Larson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Oct 23, 2009
- Last Updated
- Oct 23, 2009
Practice Location
- Address
- 451 DUNHAM RD
- Address 2
- SUITE 400
- City
- Saint Charles
- State
- Illinois
- ZIP Code
- 60174-1431
- Phone
- (630) 444-1801
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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