Individual
EMILY FERRIS ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1950 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5500
(435) 209-0063
Mailing address
4115 S DIANA WAY, SALT LAKE CITY, UT 84124-3226
(435) 209-0063
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8949498-3501
UT
Other
Enumeration date
09/27/2012
Last updated
08/14/2023
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