Individual
NICOLE LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 TWEED, WINFIELD, KS 67156-1596
(615) 896-6400
Mailing address
1335 NW BROAD ST, MURFREESBORO, TN 37129-4428
(615) 896-6400
(615) 896-5177
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4084
KS
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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