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Individual

NANCY RODRIGUEZ LARSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
230 EAST 400 SOUTH, SUITE 1, SPRINGVILLE, UT 84663
(801) 623-1996
Mailing address
224 S MAIN ST # 126, SPRINGVILLE, UT 84663-1851
(801) 623-1996

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/03/2014
Last updated
12/27/2021
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