Individual
MARISSA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
448 E WINCHESTER ST STE 110, MURRAY, UT 84107-8538
(801) 694-1465
Mailing address
420 E ST # 2, SLC, UT 84103-2832
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9498512-3502
UT
Other
Enumeration date
08/16/2017
Last updated
06/04/2023
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