Individual
KARI LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
177 W PRICE AVE, SOUTH SALT LAKE, UT 84115-4345
(385) 468-4466
(385) 468-4461
Mailing address
177 W PRICE AVE, SOUTH SALT LAKE, UT 84115-4345
(385) 468-4466
(385) 468-4461
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
5748056-3503
UT
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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