Kristen E Larson, CCLS
Social Worker in Jacksonville, FL. Individual provider (NPI-1).
NPI number1407147697
StatusActive
Last updated in NPPESApr 22, 2011
Details
- NPI
- 1407147697
- Entity type
- Individual (NPI-1)
- Name
- Kristen E Larson
- Credential
- CCLS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 22, 2011
- Last updated
- Apr 22, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
910 N Jefferson StJacksonville, FL 32209-6810
Phone 904-360-7022
Mailing address
910 N Jefferson StJacksonville, FL 32209-6810
Phone 904-360-7022
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