Individual
AMY ROSE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4500 SOUTH 2180 EAST, SUITE 165, HOLLADAY, UT 84117
(801) 461-9060
Mailing address
4500 SOUTH 2180 EAST, SUITE 165, HOLLADAY, UT 84117
(801) 461-9060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8130881-3502
UT
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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