Individual
MS. PAULA ANN LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
(801) 268-7111
Mailing address
1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
(801) 268-7111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4899683-3501
UT
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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