Individual
EMILY ELIZABETH MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
997 E 3900 S STE 104, SALT LAKE CITY, UT 84124-1108
(801) 949-9434
Mailing address
997 E 3900 S STE 104, SALT LAKE CITY, UT 84124-1108
(801) 949-9434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5916085-3501
UT
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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