Individual
ETHAN ROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
7430 S WASATCH BLVD APT I2, COTTONWOOD HEIGHTS, UT 84121-4649
(206) 909-0122
Mailing address
7430 S WASATCH BLVD APT I2, COTTONWOOD HEIGHTS, UT 84121-4649
(206) 909-0122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11860143-3502
UT
1041C0700X
Clinical Social Worker
11860143-3503
UT
Other
Enumeration date
10/20/2022
Last updated
08/28/2024
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