Individual
MS. LARS NICOLE EBSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
104 W EMERSON ST APT 6, MELROSE, MA 02176-3171
(443) 756-9875
Mailing address
104 W EMERSON ST APT 6, MELROSE, MA 02176-3171
(443) 756-9875
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP102174
MA
Other
Enumeration date
06/24/2026
Last updated
07/05/2026
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