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1487105599
JENNIFER MARY LARSON
MILWAUKEE, WI
NPI
1487105599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WI 2550-154)
Enumeration Date
2016-10-24
Last Update Date
2016-10-24
Business Address
Ms. JENNIFER MARY LARSON CCC-SLP
9030 W HADLEY ST
MILWAUKEE, WI 53222-4634
Phone number: 414-479-9923
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Mailing Address
Ms. JENNIFER MARY LARSON CCC-SLP
6273 UPPER PKWY N
WAUWATOSA, WI 53213-2429
Phone number: 414-257-4681
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