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Individual

ANDREW LARSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 LONDON RD, MARSHALL, MN 56258-3070
(507) 537-2240
Mailing address
301 E MAIN AVE, FERTILE, MN 56540-4025
(218) 536-0056

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1019021
MN
235Z00000X
Speech-Language Pathologist
528869
MN

Other

Enumeration date
07/08/2024
Last updated
04/21/2026
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