Individual
MISS JENNA ELIZABETH LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. SLP-CF
Contact information
Practice address
1173 ROCK SPRINGS RD STE 105, SMYRNA, TN 37167-8414
(615) 220-5796
Mailing address
3960 BELL RD APT 1211, HERMITAGE, TN 37076-2957
(931) 247-2486
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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