Individual
S ROLAND OLIVER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4250 W 5415 S, FL 3, KEARNS, UT 84118-4303
(801) 969-4181
Mailing address
2317 BONANZA CIR, SOUTH JORDAN, UT 84095-3103
(801) 254-0220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
128688-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BC-3001
BCBS
UT
Enumeration date
06/08/2006
Last updated
07/09/2007
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