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1821590340
LARS M EGGERTSEN
SOUTH JORDAN, UT
NPI
1821590340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 9197538-3502)
Enumeration Date
2018-02-28
Last Update Date
2018-02-28
Business Address
Dr. LARS M EGGERTSEN MSW, CSW
885 W BAXTER DR
SOUTH JORDAN, UT 84095-8506
Phone number: 801-446-3515
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Mailing Address
Dr. LARS M EGGERTSEN MSW, CSW
1784 W ELM ST
MAPLETON, UT 84664-5658
Phone number: 801-815-3138
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