Individual
MRS. DANIELLE NICOLE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
314 SERVICE RD, SPOONER, WI 54801-6200
(715) 635-2518
(866) 245-8064
Mailing address
314 SERVICE RD, SPOONER, WI 54801-6200
(715) 635-2518
(715) 635-2672
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3667-154
WI
Other
Enumeration date
11/28/2012
Last updated
06/11/2020
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