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1578868527
JEFFREY DAVID LARSON
SALT LAKE CITY, UT
NPI
1578868527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 5420921-3501)
Enumeration Date
2011-01-24
Last Update Date
2011-01-24
Business Address
Mr. JEFFREY DAVID LARSON L.C.S.W.
1776 S MAIN ST
SALT LAKE CITY, UT 84115-1951
Phone number: 801-673-1715
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Mailing Address
Mr. JEFFREY DAVID LARSON L.C.S.W.
1776 S MAIN ST
SALT LAKE CITY, UT 84115-1951
Phone number: 801-673-1715
Copy
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