Larissa Marie Didriksen, LCSW

NPI #1790243756 in Richmond, Illinois

Provider Information

NPI Number
1790243756
Entity Type
Individual
Name
Larissa Marie Didriksen, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Mar 8, 2019
Last Updated
Oct 9, 2019

Practice Location

Address
9716 US HIGHWAY 12
ZIP Code
60071-9253
Phone
(815) 581-8131

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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