DEREK R LARSON

HILL AFB, UT
NPI1194731091
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  4941733-3501)
Enumeration Date2006-07-31
Last Update Date2024-12-03
Business Address
DEREK R LARSON LCSW
75TH MEDICAL GROUP 7321 BALMER STREET BUILDING 570
HILL AFB, UT 84056
Phone number: 801-777-7909
Mailing Address
DEREK R LARSON LCSW
75TH MEDICAL GROUP 7321 BALMER STREET BUILDING 570
HILL AFB, UT 84056
Phone number: 801-777-7909