Organization
RUTH P. MANVILLE, LCSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH MANVILLE MSW (PRESIDENT)
(801) 328-8444
Entity
Organization
Contact information
Practice address
370 E SOUTH TEMPLE, SUITE #240, SALT LAKE CITY, UT 84111-1206
(801) 328-8444
(801) 328-4590
Mailing address
370 E SOUTH TEMPLE, SUITE #240, SALT LAKE CITY, UT 84111-1206
(801) 328-8444
(801) 328-4590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
131196-3501
UT
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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