Individual
JERI ROSE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
474 W 200 N, ST GEORGE, UT 84770-4505
(435) 634-5600
Mailing address
474 W 200 N, ST GEORGE, UT 84770-4505
(435) 429-4417
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8969784-3502
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8969784-3502
ACTIVE CSW LICENSE
UT
Enumeration date
03/12/2019
Last updated
03/12/2019
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