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Contact Information

CLAUDETTE M LARSON, LICSW
640 ATLANTIC AVE
BENSON, MN56215
 Phone: 320-843-3454
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for CLAUDETTE M LARSON · (Female)

NPI # 1306984497
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 02/02/2007
Last updated 09/13/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 16765
  • MN Medicaid 76660100
  • MN Other 046D1CA BCBS
  • MN Other 1050870 BHP PREFERRED ONE
  • MN Other 411910086 CORP HEALTH
  • MN Other HP78786 HEALTH PARTNERS
  • MN Other 600074381 MAGELLAN
  • MN Other 6984497 UBH
  • MN Other 152193 UCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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