Individual
BRIAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5770 S 1500 W, SALT LAKE CITY, UT 84123-5216
(801) 663-7980
Mailing address
1750 E YALE AVE, SALT LAKE CITY, UT 84108-1836
(801) 608-6581
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
138584-3501
UT
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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