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1649733205
DANETTE LEE LARSEN
MIDVALE, UT
NPI
1649733205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 6823638-6004)
Enumeration Date
2019-04-10
Last Update Date
2019-06-11
Business Address
DANETTE LEE LARSEN CMHC
613 E FORT UNION BLVD STE 104
MIDVALE, UT 84047-5531
Phone number: 801-984-1717
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Mailing Address
DANETTE LEE LARSEN CMHC
613 E FORT UNION BLVD STE 104
MIDVALE, UT 84047-5531
Phone number: 801-984-1717
Copy
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