# BARRY ROSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477533412
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 971363963501 | UT | Yes |

## Other

- **Enumeration date:** 01/17/2006
- **Last updated:** 07/08/2007

## 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 |