Larson, Rae

Larson, Rae is an sole proprietor health care provider with primary practice located at 447 Tamarach Dr , Edwardsville IL 62025-5243. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Larson, Rae can be contacted via phone (321) 305-2680.

Contact Information

Primary practice address
447 Tamarach Dr Edwardsville IL 62025-5243
Phone: (321) 305-2680
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 2600972 Illinois
Behavioral Health & Social Service Providers / Social Worker 104100000X 20220002656 Missouri

Profile Details

NPI number 1174302285
LBN Legal business name Larson, Rae
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2023
Last updated Sep 27th, 2023 - 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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