Individual
EMILY VANESSA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84095-5511
(801) 302-3801
Mailing address
1206 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84095-5511
(801) 302-3801
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10953821-3502
UT
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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