Individual
EMILY JEAN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21013 E JEFFERSON CIR, AURORA, CO 80013-7414
(720) 353-8939
Mailing address
1310 S MONACO PKWY APT A, DENVER, CO 80224-2064
15742207812
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0002807
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235Z00000X
—
CO
Enumeration date
05/23/2017
Last updated
05/23/2017
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