MRS. Angela Renae Larson, BS
NPI #1164418646 in Watertown, South Dakota
Provider Information
- NPI Number
- 1164418646
- Entity Type
- Individual
- Name
- MRS. Angela Renae Larson, BS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Counselor - Mental Health
- Credential
- BS
- Enumeration Date
- Sep 21, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 123 19TH ST NE
- City
- Watertown
- State
- South Dakota
- ZIP Code
- 57201-2823
- Phone
- (605) 886-0123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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