Individual
MELISSA LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2052 PLEASANT RUN CT, NAPERVILLE, IL 60565-1758
(708) 574-2879
Mailing address
2052 PLEASANT RUN CT, NAPERVILLE, IL 60565-1758
(708) 574-2879
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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