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Individual

MR. MATTHEW G. LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
24 S 600 E, STE. 6, SLC, UT 84102
(801) 599-6396
(801) 521-0688
Mailing address
PO BOX 1221, SLC, UT 84101-1221
(801) 599-6396
(801) 599-6396

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
360939-3501
UT

Other

Enumeration date
04/14/2006
Last updated
02/25/2008
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