Individual
ELIZABETH GAEL LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 INTELCO LOOP SE STE B, LACEY, WA 98503-6005
(360) 786-1753
Mailing address
4510 INTELCO LOOP SE STE B, LACEY, WA 98503-6005
(360) 786-1753
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
10/01/2024
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