Individual
MS. KIRSTEN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
1708 S WESTERN AVE, PARK RIDGE, IL 60068-5068
(847) 414-2786
Mailing address
1708 S WESTERN AVE, PARK RIDGE, IL 60068-5068
(847) 414-2786
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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