Individual
RYAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5455 RIVER RUN DR, PROVO, UT 84604-7726
(801) 234-0653
Mailing address
1054 HUCKLEBERRY CIR, SALEM, UT 84653-5691
(801) 234-0653
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6607196-3501
UT
Other
Enumeration date
05/26/2019
Last updated
05/26/2019
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