Jackie Larsen

NPI #1659050177 in Springville, Utah

Provider Information

NPI Number
1659050177
Entity Type
Individual
Name
Jackie Larsen
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jul 12, 2023
Last Updated
Jul 12, 2023

Practice Location

Address
1211 S 1530 W
State
Utah
ZIP Code
84663-5074
Phone
(562) 841-2877

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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