Individual
LARSON PAX DRZEWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1161 E CLARK RD STE 360, DEWITT, MI 48820-7930
(517) 507-5525
Mailing address
PO BOX 412031, BOSTON, MA 02241-2031
(888) 830-4125
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101007571
MI
Other
Enumeration date
11/23/2022
Last updated
12/27/2023
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