LARISA M WILDER

BOULDER, CO
NPI1861718033
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AZ  12119008)
Enumeration Date2010-04-13
Last Update Date2014-01-02
Business Address
-- LARISA M WILDER CCC-SLP
3825 MONTEREY PLACE
BOULDER, CO 80301
Phone number: 720-536-8948
Mailing Address
-- LARISA M WILDER CCC-SLP
3825 MONTEREY PL
BOULDER, CO 80301-1516
Phone number: 720-536-8948
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