Individual
MRS. JACKIE LYNN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
329 MARIAH CT, RIVER FALLS, WI 54022-2099
(715) 222-8394
Mailing address
329 MARIAH CT, RIVER FALLS, WI 54022-2099
(715) 222-8394
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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