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NPI Code Detail

MEDICARE: BRITTANY JO LARSON LCSW

MEDICARE:   BRITTANY JO LARSON  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCSW-22288AZ

General Provider Information

NPI Number : 1750013108
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY JO LARSON LCSW
Provider Business Mailing Address
First Line : 25329 S 227TH ST
Second Line :
City : QUEEN CREEK
State : AZ
Zip : 85142-2161
Country : US
Telephone Number : 480-617-3912
Fax Number : 480-571-3262
Provider Business Practice Location Address
First Line : 25329 S 227TH ST
Second Line :
City : QUEEN CREEK
State : AZ
Zip : 85142-2161
Country : US
Telephone Number : 480-617-3912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2022
Last Update Date : 01/07/2026

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Directions to “ BRITTANY JO LARSON LCSW” Practice Location

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