NPI 1003504788

Michele J. Larson, MSWLICSW

Practitioner Clinical Social Worker Mankato, MN

Practice location

Address: 104 Serra St, Mankato, MN 56001-9244
Phone: (608) 577-5742

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 27669 (MN)

Other Social Worker providers in Minnesota →

Registry record

NPI: 1003504788
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 May 2023
Record last updated: 1 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.