Individual
ROSA WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 FOOTHILL DR, SALT LAKE CITY, UT 84112-1106
(801) 646-9236
Mailing address
3538 KEPUHI ST, HONOLULU, HI 96815-4366
(804) 543-8999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
05/03/2024
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