Ashley Kristen Larsen, CSW

NPI #1114193117 in Provo, Utah

Provider Information

NPI Number: 1114193117
Entity Type: Individual
Name: Ashley Kristen Larsen, CSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: CSW
Enumeration Date: Apr 30, 2008
Last Updated: Sep 13, 2011

Practice Location

Address: 750 N 200 W
City: Provo
State: Utah
ZIP Code: 84601-1677
Phone: (801) 373-4760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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