Individual
DENNIS MARK LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
125 S STATE ST, #20, MT PLEASANT, UT 84647-1563
(435) 462-2421
(435) 462-2078
Mailing address
255 W MAIN ST, MT PLEASANT, UT 84647-1331
(435) 462-2416
(435) 462-9350
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
116004-3501
UT
Other
Enumeration date
06/29/2006
Last updated
07/09/2007
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