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1992284418
MELISSA L LARSEN
SALT LAKE CITY, UT
NPI
1992284418
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Former Name
MELISSA Y LEIVA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 10913473-3502)
Enumeration Date
2018-08-07
Last Update Date
2019-10-28
Business Address
MELISSA L LARSEN
275 E SOUTH TEMPLE STE 100
SALT LAKE CITY, UT 84111-1242
Phone number: 909-957-5492
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Mailing Address
MELISSA L LARSEN
275 E SOUTH TEMPLE STE 100
SALT LAKE CITY, UT 84111-1242
Phone number:
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