MR. JEFFREY LARSON

Social Worker - Clinical

Active Individual
NPI: 1154657245

Practice Address

451 DUNHAM RD
SUITE 400
Saint Charles, IL 60174

Phone: (630) 444-1801

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 149012296 (IL)

Frequently Asked Questions

NPI 1154657245 is the National Provider Identifier for MR. JEFFREY LARSON, a Social Worker - Clinical provider located in Saint Charles, IL. This NPI was enumerated on October 23, 2009.
MR. JEFFREY LARSON practices at 451 DUNHAM RD, SUITE 400, Saint Charles, IL 60174.

Quick Facts

NPI
1154657245
Type
Individual
Enumerated
Oct 23, 2009
Last Updated
Oct 23, 2009

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