Individual
EMMA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
421 HARRISON ST STE C, OAK PARK, IL 60304-1461
(630) 290-4636
Mailing address
421 HARRISON ST STE C, OAK PARK, IL 60304-1461
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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