Individual
DR. MARGO MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
150 S 600 E STE 10D, SALT LAKE CITY, UT 84102-1961
(801) 328-9204
(801) 582-1392
Mailing address
607 ELIZABETH ST, SALT LAKE CITY, UT 84102-3905
(801) 328-9204
(801) 582-1392
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
369759-2501
UT
Other
Enumeration date
01/18/2007
Last updated
09/25/2019
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