Individual
MS. DEVON MUSSON ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
350 S 400 E, SALT LAKE CITY, UT 84111-2905
(801) 582-5534
(801) 582-5540
Mailing address
350 S 400 E, SALT LAKE CITY, UT 84111-2905
(801) 582-5534
(801) 582-5540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6710499-3501
UT
1041C0700X
Clinical Social Worker
67104993501
UT
1041C0700X
Clinical Social Worker
C008347
NC
Other
Enumeration date
08/20/2007
Last updated
10/13/2016
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