Individual
ARIANNA AMY BRADLEY-ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
119O NORTH 900 EAST, PROVO, UT 84604
(801) 422-7620
Mailing address
1536 W 1250 N, PROVO, UT 84604-2962
(801) 375-1708
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3230063502
UT
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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