Individual
CAROLINE GRACE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14715 BRISTOL PARK BLVD, EDMOND, OK 73013-1894
(405) 840-1686
Mailing address
2004 RUNNING BRANCH RD, EDMOND, OK 73013-6684
(405) 205-4889
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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