JOHN DAVID LARSEN

HILL AFB, UT
NPI1013154442
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  4959333-3501)
Enumeration Date2009-01-07
Last Update Date2024-12-03
Business Address
JOHN DAVID LARSEN LCSW
75TH MEDICAL GROUP 7321 BALMER STREET BUILDING 570
HILL AFB, UT 84056
Phone number: 801-777-3497
Mailing Address
JOHN DAVID LARSEN LCSW
75TH MEDICAL GROUP 7321 BALMER STREET BUILDING 570
HILL AFB, UT 84056
Phone number: 801-777-3497
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