Dennis Mark Larsen, LCSW

NPI #1699703546 in Mt Pleasant, Utah

Provider Information

NPI Number: 1699703546
Entity Type: Individual
Name: Dennis Mark Larsen, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jun 29, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 125 S STATE ST
Address 2: #20
City: Mt Pleasant
State: Utah
ZIP Code: 84647-1563
Phone: (435) 462-2421

Specialties & Taxonomy Codes

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

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