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1326002437
MATTHEW G. LARSON
SLC, UT
NPI
1326002437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 360939-3501)
Enumeration Date
2006-04-14
Last Update Date
2008-02-25
Business Address
Mr. MATTHEW G. LARSON LCSW
24 S 600 E STE. 6
SLC, UT 84102
Phone number: 801-599-6396
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Mailing Address
Mr. MATTHEW G. LARSON LCSW
PO BOX 1221
SLC, UT 84101-1221
Phone number: 801-599-6396
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