Individual
ROSELYN MARYBOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
EAST HIGHWAY 262, MONTEZUMA CREEK, UT 84534-0130
(435) 651-3291
(435) 651-3376
Mailing address
PO BOX 130, MONTEZUMA CREEK, UT 84534-0130
(435) 651-3291
(435) 651-3376
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
126038-3501
UT
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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