JEFFREY DAVID LARSON

SALT LAKE CITY, UT
NPI1578868527
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  5420921-3501)
Enumeration Date2011-01-24
Last Update Date2011-01-24
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
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