Lily Rose Larson
NPI #1932722592 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1932722592
- Entity Type
- Individual
- Name
- Lily Rose Larson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- May 18, 2020
- Last Updated
- Dec 14, 2020
Practice Location
- Address
- 1101 E 78TH ST
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55420-1400
- Phone
- (952) 234-6860
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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