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1497931927
KRISTA LARSON
PROVO, UT
NPI
1497931927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 6606740-3501)
Enumeration Date
2008-01-15
Last Update Date
2009-06-02
Business Address
-- KRISTA LARSON LCSW
750 N 200 W
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
-- KRISTA LARSON LCSW
750 N 200 W
PROVO, UT 84601-1677
Phone number:
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