Individual
ANDREA T. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-4410
Mailing address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
261723-3501
UT
1041S0200X
School Social Worker
82306
UT
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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