Individual
MELISSA ANN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2835 W SAINT GERMAIN ST STE 300, SAINT CLOUD, MN 56301-6281
(320) 200-0122
Mailing address
3373 W SAINT GERMAIN ST APT 305, SAINT CLOUD, MN 56301-3734
(218) 849-7811
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
518128
MN
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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