Most Relevant Information
Provider Data
| NPI Number: | 1003262817 |
| Provider Name: | PHILLIP ERNEST LARKINS MSW - LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 1975 |
Most Important Dates
| Enumeration Date: | 05/11/2016 |
| Last Updated: | 05/11/2016 |
Provider Practice Location
10066 TOLEDO DR N
BROOKLYN PARK
MN
554432378
Practice Location Phone/Fax
| Phone: | 6129916050 |
| Fax: |
Provider Mailing Location
10066 TOLEDO DR N
BROOKLYN PARK
MN
554432378
Provider Mailing Phone/Fax
| Phone: | 6129916050 |
| Fax: |