Individual
LESLIE MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
3740 MARKET CENTER DR, SUITE 1200, RIVERTON, UT 84065-8026
(801) 240-9436
(801) 240-9452
Mailing address
3740 MARKET CENTER DR, SUITE 1200, RIVERTON, UT 84065-8026
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
80074833503
UT
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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