MELISSA LARSON

PEORIA, IL
NPI1467571547
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  242-000239)
Enumeration Date2007-03-28
Last Update Date2007-09-06
Business Address
-- MELISSA LARSON ST
7725 N KNOXVILLE AVE
PEORIA, IL 61614-2079
Phone number: 309-693-9189
Mailing Address
-- MELISSA LARSON ST
7725 N KNOXVILLE AVE
PEORIA, IL 61614-2079
Phone number: 309-693-9189
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