-- DEREK R LARSON LCSW ⚕️ Utah 1194731091

NPI	1194731091
Entity Type	Individual
Gender	Male
Sole Proprietor ?	No
Primary Taxonomy	1041C0700X Social Worker, Clinical (Licence: UT 4941733-3501)
Enumeration Date	2006-07-31
Last Update Date	2013-09-25

-- DEREK R LARSON LCSW

2250 N 1700 W

LAYTON, UT 84041-1140

Phone number: 801-773-7060

-- DEREK R LARSON LCSW

PO BOX 460

BOUNTIFUL, UT 84011-0460

Phone number: 801-298-3446