Ashley Nichole Larson

NPI #1184382988 in Shawnee, Oklahoma

Provider Information

NPI Number: 1184382988
Entity Type: Individual
Name: Ashley Nichole Larson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Nov 30, 2021
Last Updated: Nov 30, 2021

Practice Location

Address: 1010 E 45TH ST
City: Shawnee
State: Oklahoma
ZIP Code: 74804-2202
Phone: (405) 273-1170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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