Individual
CIARA PEARLE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1820 SIDEWINDER DR STE 100, PARK CITY, UT 84060-7563
(435) 658-9199
Mailing address
1820 SIDEWINDER DR STE 100, PARK CITY, UT 84060-7563
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
12348470-3502
UT
1041C0700X
Clinical Social Worker
Primary
123484703501
UT
174400000X
Specialist
—
—
Other
Enumeration date
05/10/2017
Last updated
03/05/2025
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