Individual
BROOKE LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5965 S 900 E, MURRAY, UT 84121-1720
(801) 263-7138
Mailing address
4338 W 5615 S, KEARNS, UT 84118-5112
(801) 637-9762
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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