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Daphne Marie Larson

Peer Specialist in Cape Girardeau, MO. Individual provider (NPI-1).

NPI number1073017752
StatusActive
Last updated in NPPESMar 19, 2018

Details

NPI
1073017752
Entity type
Individual (NPI-1)
Name
Daphne Marie Larson
Sex
Female
Sole proprietor
No
Enumeration date
Mar 19, 2018
Last updated
Mar 19, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

20 S Sprigg St
Cape Girardeau, MO 63703-6212

Phone 573-651-4177

Mailing address

20 S Sprigg St
Cape Girardeau, MO 63703-6212

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