Individual
JOYCE GUNNELL LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 E 1300 N, LOGAN, UT 84341
(435) 792-6491
Mailing address
655 E 1300 N, LOGAN, UT 84341
(435) 792-6491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
140332-3501
UT
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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