Individual
PATRICIA JEANETTE MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
151 S UNIVERSITY AVE, SUITE 3200, PROVO, UT 84601-4427
(801) 851-7667
(801) 851-7669
Mailing address
151 S UNIVERSITY AVE, SUITE 3200, PROVO, UT 84601-4427
(801) 851-7667
(801) 851-7669
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6532335-3501
UT
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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