Lisa K Larsen, LMSW

NPI #1689423121 in Chubbuck, Idaho

Provider Information

NPI Number: 1689423121
Entity Type: Individual
Name: Lisa K Larsen, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: May 16, 2024
Last Updated: May 16, 2024

Practice Location

Address: 265 E CHUBBUCK RD
City: Chubbuck
State: Idaho
ZIP Code: 83202-5055
Phone: (208) 237-1711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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