Larson, Roberta G.

Larson, Roberta G. is an sole proprietor health care provider with primary practice located at 14502 County Road 6 , Plymouth MN 55447-4555. 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, Roberta G. can be contacted via phone (763) 591-0169.

Contact Information

Primary practice address
14502 County Road 6 Plymouth MN 55447-4555
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 05177 Minnesota

Profile Details

NPI number 1952440489
LBN Legal business name Larson, Roberta G.
Credentials L.I.C.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

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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