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1245593904
ELIZABETH LARSON
POMPANO BEACH, FL
NPI
1245593904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: TN 105302541)
Enumeration Date
2012-06-18
Last Update Date
2012-06-18
Business Address
Mrs. ELIZABETH LARSON
2708 NE 14TH ST SUITE 5
POMPANO BEACH, FL 33062-3565
Phone number: 888-880-9270
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Mailing Address
Mrs. ELIZABETH LARSON
1209 MADISON ST
CLARKSVILLE, TN 37040-3819
Phone number: 423-313-7465
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