MRS. Jackie Lynn Larsen, MS-CCC-SLP
NPI #1962904870 in River Falls, Wisconsin
Provider Information
- NPI Number
- 1962904870
- Entity Type
- Individual
- Name
- MRS. Jackie Lynn Larsen, MS-CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS-CCC-SLP
- Enumeration Date
- Mar 6, 2018
- Last Updated
- Mar 6, 2018
Practice Location
- Address
- 329 MARIAH CT
- City
- River Falls
- State
- Wisconsin
- ZIP Code
- 54022-2099
- Phone
- (715) 222-8394
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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