Individual
DEAUN LARSON HOLDAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
UNLICENSED PROVIDER
Contact information
Practice address
265 N STATE ST, MOUNT PLEASANT, UT 84647-1108
(435) 462-2781
(435) 462-0155
Mailing address
PO BOX 31, MT PLEASANT, UT 84647-0031
(435) 462-2781
(435) 462-0155
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
UT
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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