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1508828039
ANDREA DIXIE LARSON
MIDVALE, UT
NPI
1508828039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 345808-3501)
Enumeration Date
2006-04-03
Last Update Date
2009-01-20
Business Address
-- ANDREA DIXIE LARSON L.C.S.W.
7575 S 9TH E
MIDVALE, UT 84047-5100
Phone number: 801-208-1031
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Mailing Address
-- ANDREA DIXIE LARSON L.C.S.W.
11410 CHERRY HILL DR
SANDY, UT 84094-5675
Phone number: 801-450-3639
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