Julia A Larson, MSW, LCSW
Social Worker, Clinical in Calimesa, CA. Individual provider (NPI-1).
NPI number1336760263
StatusActive
Last updated in NPPESMay 4, 2020
Details
- NPI
- 1336760263
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Julia A Larson
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 1, 2020
- Certification date
- May 4, 2020
- Last updated
- May 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW61781 | CA | Yes |
Practice location
281 Slack PlCalimesa, CA 92320-1622
Phone 909-725-0684
Mailing address
281 Slack PlCalimesa, CA 92320-1622
Phone 909-725-0684
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