Individual
LARISSA LILLIAN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 PARK PL, WAUKESHA, WI 53186-4858
(262) 446-9466
Mailing address
222 PARK PL, WAUKESHA, WI 53186-4858
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5108-154
WI
235Z00000X
Speech-Language Pathologist
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—
Other
Enumeration date
01/14/2021
Last updated
05/29/2025
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