Individual
MRS. KELLI SUZANNE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
6000 MOORE LAKE DR W, FRIDLEY, MN 55432-5601
(763) 502-5400
Mailing address
8322 ARCHER LN N, MAPLE GROVE, MN 55311-1816
(612) 384-8180
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7933
MN
Other
Enumeration date
11/15/2007
Last updated
04/09/2026
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