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1083049506
WESLEY WILLARD LARSON
LOGAN, UT
NPI
1083049506
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 275193-3902)
Enumeration Date
2013-09-04
Last Update Date
2013-09-04
Business Address
Mr. WESLEY WILLARD LARSON MS LMFT
190 E CENTER ST
LOGAN, UT 84321-4607
Phone number: 435-752-1976
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Mailing Address
Mr. WESLEY WILLARD LARSON MS LMFT
190 E CENTER ST
LOGAN, UT 84321-4607
Phone number: 435-752-1976
Copy
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