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1013154442
JOHN DAVID LARSEN
LAYTON, UT
NPI
1013154442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 4959333-3501)
Enumeration Date
2009-01-07
Last Update Date
2016-06-09
Business Address
-- JOHN DAVID LARSEN CSW
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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Mailing Address
-- JOHN DAVID LARSEN CSW
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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