Individual
PATRICIA JOAN MATTOX-LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SP
Contact information
Practice address
1251 WHITE MOUNTAIN HWY, NORTH CONWAY, NH 03860-5154
(603) 356-7294
Mailing address
1251 WHITE MOUNTAIN HWY, NORTH CONWAY, NH 03860-5154
(603) 356-7294
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0320
NH
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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