Individual
MARGARET J LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
721 W HARRISON ST, BRUNSWICK, MO 65236-1096
(660) 548-3182
Mailing address
PO BOX 223, WAVERLY, MO 64096-0223
(660) 493-0276
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
114642
MO
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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