Nicole Elizabeth Larson, MSW, LICSW

NPI #1568715803 in Northfield, Minnesota

Provider Information

NPI Number: 1568715803
Entity Type: Individual
Name: Nicole Elizabeth Larson, MSW, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: MSW, LICSW
Enumeration Date: Oct 24, 2012
Last Updated: Jan 3, 2022

Practice Location

Address: 101 5TH ST E STE 207
City: Northfield
State: Minnesota
ZIP Code: 55057-2076
Phone: (507) 301-6741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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