Individual
MAKAYLEE SHAYE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
716 E 4500 S # 160, MURRAY, UT 84107-3080
(801) 281-1100
Mailing address
PO BOX 520009, SALT LAKE CITY, UT 84152-0009
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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