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Organization
MATT LARSON PSYCHOTHERAPY AND ASSOCIATES
Active
Organization
MATT LARSON PSYCHOTHERAPY AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT LARSON (LCSW/OWNER)
(801) 599-6396
Entity
Organization
Contact information
Practice address
24 S 600 E STE 6, SALT LAKE CITY, UT 84102-4201
(801) 599-6396
Mailing address
24 S 600 E STE 6, SALT LAKE CITY, UT 84102-4201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9190801-3501
UT
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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