Larson, Andrea Dixie
Larson, Andrea Dixie is an individual health care provider with primary practice located at 7575 S 9Th E , Midvale UT 84047-5100. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Larson, Andrea Dixie can be contacted via phone (801) 208-1031.Contact Information
Primary practice address
7575 S 9Th E
Midvale UT 84047-5100
Phone: (801) 208-1031
Fax: (801) 208-1987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 345808-3501 | Utah |
Profile Details
| NPI number | 1508828039 |
|---|---|
| LBN Legal business name | Larson, Andrea Dixie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Jan 20th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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