Individual
KIMBERLY M LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
717 71ST AVE, GREELEY, CO 80634-8249
(970) 348-4087
Mailing address
1025 9TH AVE, GREELEY, CO 80631-4039
(970) 348-6000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24431280
CO
Other
Enumeration date
12/15/2023
Last updated
01/09/2024
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