Individual
LARISSA CONOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(571) 801-7255
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
430
NE
Other
Enumeration date
07/26/2022
Last updated
08/08/2025
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