DEREK LARSON, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1194731091
Practice Address
75TH MEDICAL GROUP7321 BALMER STREET BUILDING 570
Hill Afb, UT 84056
Phone: (801) 777-7909
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 4941733-3501 (UT) |
Frequently Asked Questions
NPI 1194731091 is the National Provider Identifier for DEREK LARSON, LCSW, a Social Worker - Clinical provider located in Hill Afb, UT. This NPI was enumerated on July 31, 2006.
DEREK LARSON, LCSW practices at 75TH MEDICAL GROUP, 7321 BALMER STREET BUILDING 570, Hill Afb, UT 84056.
Quick Facts
- NPI
- 1194731091
- Type
- Individual
- Enumerated
- Jul 31, 2006
- Last Updated
- Dec 3, 2024
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