Derek R Larson, LCSW

NPI #1194731091 in Hill Afb, Utah

Provider Information

NPI Number
1194731091
Entity Type
Individual
Name
Derek R Larson, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jul 31, 2006
Last Updated
Dec 3, 2024

Practice Location

Address
75TH MEDICAL GROUP
Address 2
7321 BALMER STREET BUILDING 570
State
Utah
ZIP Code
84056
Phone
(801) 777-7909

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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