Individual
KYRSTEN LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1955 22ND ST, NORTHPORT, AL 35476-4250
(205) 319-6484
Mailing address
1955 22ND ST, NORTHPORT, AL 35476-4250
(205) 319-6484
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
114917
TX
235Z00000X
Speech-Language Pathologist
Primary
5228
AL
Other
Enumeration date
03/04/2022
Last updated
09/07/2022
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