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Contact Information

KATHLEEN H ROSE, LCSW
75 W 1175 N
BEAVER, UT84713
 Phone: 435-438-5537
 Fax: 435-986-8700
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for KATHLEEN H ROSE · (Female)

NPI # 1700928785
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 02/13/2007
Last updated 05/28/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 283344-3501
  • UT Other 283344-3501 STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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