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1316231053
CAROLYN MICHELLE LARSON
CHICAGO, IL
NPI
1316231053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146008841)
Enumeration Date
2011-05-29
Last Update Date
2011-05-29
Business Address
Ms. CAROLYN MICHELLE LARSON SLP
2243 N LISTER AVE APT 302
CHICAGO, IL 60614-9016
Phone number: 309-310-5961
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Mailing Address
Ms. CAROLYN MICHELLE LARSON SLP
2243 N LISTER AVE APT 302
CHICAGO, IL 60614-6395
Phone number: 309-310-5961
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