Matthew G. Larson, LCSW Valid NPI
Individual provider · Clinical Social Worker · Slc, UT
- NPI
- 1326002437
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 360939-3501 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-04-14
- Last updated
- 2008-02-25
Practice location
24 S 600 E, Ste. 6
Slc, UT 84102
(801) 599-6396