Andrew John Larsen, LCSW
NPI #1720590383 in Providence, Utah
Provider Information
- NPI Number
- 1720590383
- Entity Type
- Individual
- Name
- Andrew John Larsen, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Nov 3, 2017
- Last Updated
- Jan 10, 2024
Practice Location
- Address
- 405 EDGEWOOD DR
- City
- Providence
- State
- Utah
- ZIP Code
- 84332-9471
- Phone
- (435) 233-4417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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