Individual
MARIAH ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 S 700 E STE 102, SALT LAKE CITY, UT 84105-2125
(385) 313-0055
Mailing address
3826 E VIEWCREST DR, SALT LAKE CITY, UT 84124-3933
(208) 704-8784
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/02/2022
Last updated
02/23/2023
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