Individual
RILEY C LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
919 CODY AVE, CODY, WY 82414-4115
(307) 747-7200
Mailing address
919 CODY AVE, CODY, WY 82414-4115
(307) 747-7200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1144
WY
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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