Tasia Roth

NPI #1356034391 in American Fork, Utah

Provider Information

NPI Number: 1356034391
Entity Type: Organization
Organization Name: Tasia Roth
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 26, 2023
Last Updated: May 26, 2023

Practice Location

Address: 241 W 380 S
City: American Fork
State: Utah
ZIP Code: 84003-0241
Phone: (435) 669-6466

Authorized Official

Name: TASIA ROTH, LCSW
Title: OWNER/CLINICAL DIRECTOR
Phone: (435) 669-6466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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