Individual
CAMILLE THEA MISKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
498 N KAYS DR, KAYSVILLE, UT 84037-4137
(801) 525-4645
Mailing address
114 W 450 S, KAYSVILLE, UT 84037-2430
(480) 529-6596
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12921396-3501
UT
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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