Larson, Diane Mary
Larson, Diane Mary is an sole proprietor health care provider with primary practice located at 3701 Shoreline Dr Ste 102 , Wayzata MN 55391-9591. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Larson, Diane Mary can be contacted via phone (952) 314-7533.Contact Information
Primary practice address
3701 Shoreline Dr Ste 102
Wayzata MN 55391-9591
Phone: (952) 314-7533
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 02877 | Minnesota |
Profile Details
| NPI number | 1649038506 |
|---|---|
| LBN Legal business name | Larson, Diane Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2024 |
| Last updated | Mar 6th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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