Individual
EMMA LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 MACK BAYOU RD, SANTA ROSA BEACH, FL 32459-7199
(850) 213-4595
Mailing address
190 RIVERWALK BLVD APT F107, FREEPORT, FL 32439-1403
(602) 525-7028
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SL7178
FL
Other
Enumeration date
07/13/2024
Last updated
07/13/2024
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