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Organization
TASIA ROTH
Active
Organization
TASIA ROTH
Active
Other names
The Protea Clinc LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TASIA ROTH LCSW (OWNER/CLINICAL DIRECTOR)
(435) 669-6466
Entity
Organization
Contact information
Practice address
241 W 380 S, AMERICAN FORK, UT 84003-0241
(435) 669-6466
Mailing address
241 W 380 S, AMERICAN FORK, UT 84003-0241
(435) 669-6466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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