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Individual

BARRY ROSE

Active
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Individual

BARRY ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
971363963501
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107032376101
INTERMOUNTAIN HEALTH CARE
UT
01
—
341613
U002-DESERET MUTUAL
UT
01
—
942938348R02
U003-EDUCATORS MUTUAL
UT
01
—
S74153
ICAR
UT
Enumeration date
01/17/2006
Last updated
07/08/2007
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