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Individual

MS. LESLIE ANNE LARSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
136415-3501
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
136415-3501
DOPL NUMBER
UT
Enumeration date
01/24/2006
Last updated
08/08/2012
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