Individual
MR. NATHAN SCOTT ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
165 N UNIVERSITY AVE, FARMINGTON, UT 84025-2990
(801) 213-6746
Mailing address
165 N UNIVERSITY AVE, FARMINGTON, UT 84025-2990
(801) 213-6746
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7075745-3501
UT
Other
Enumeration date
12/12/2022
Last updated
04/26/2023
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