Individual
DR. LARS M EGGERTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, CSW
Contact information
Practice address
885 W BAXTER DR, SOUTH JORDAN, UT 84095-8506
(801) 446-3515
Mailing address
1784 W ELM ST, MAPLETON, UT 84664-5658
(801) 815-3138
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9197538-3502
UT
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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