Individual
MYRA ROCHELLE LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12569 S 2700 W, RIVERTON, UT 84065-7182
(801) 209-9797
(801) 206-3506
Mailing address
12569 S 2700 W, RIVERTON, UT 84065-7182
(801) 209-9797
(801) 206-3506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3095206-3501
UT
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
06/12/2026
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