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DEREK LARSON, LCSW

LCSW

Clinical Social Worker

NPI: 1194731091IndividualAccepts Medicare

Specialties, Licenses & Credentials

Social Worker — Clinical

Code: 1041C0700X

4941733-3501(UT)

CMS Specialties

PrimaryCLINICAL SOCIAL WORKER

Education

OTHER

Class of 2003

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Contact & Hours

Address
75TH MEDICAL GROUP, 7321 BALMER STREET BUILDING 570
HILL AFB, UT 84056

Quick Facts

NPI
1194731091
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
2
Years in Practice
23

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