Individual
MRS. ROXANN LEE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
39874 240TH ST, LETCHER, SD 57359-6203
(605) 248-2525
(605) 248-1400
Mailing address
39874 240TH ST, LETCHER, SD 57359-6203
(605) 248-2525
(605) 248-1400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12069370
SD
Other
Enumeration date
11/09/2008
Last updated
11/09/2008
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