Individual
SHELBY LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22520 LAKE BLVD, SAINT CLAIR SHORES, MI 48082-2721
(810) 434-4278
Mailing address
22520 LAKE BLVD, SAINT CLAIR SHORES, MI 48082-2721
(810) 434-4278
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005222
MI
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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