Roosevelt Washington

NPI #1417246448 in Clearfield, Utah

Provider Information

NPI Number: 1417246448
Entity Type: Individual
Name: Roosevelt Washington
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 30, 2011
Last Updated: Mar 30, 2011

Practice Location

Address: 370 S 500 E STE 135
City: Clearfield
State: Utah
ZIP Code: 84015-4001
Phone: (801) 815-3443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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