Individual
ANDREA DIXIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
7575 S 9TH E, MIDVALE, UT 84047-5100
(801) 208-1031
(801) 208-1987
Mailing address
11410 CHERRY HILL DR, SANDY, UT 84094-5675
(801) 450-3639
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
345808-3501
UT
Other
Enumeration date
04/03/2006
Last updated
01/20/2009
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