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Individual

MRS. PAMELA JOY PRUYT-MILLERBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
9361 S 300 E, SANDY, UT 84070-2902
(801) 826-5000
Mailing address
8138 ANGEL ST, SANDY, UT 84070-0350
(801) 558-9982

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
141079-3501
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
U002
DESERET MUTUAL
UT
01
U003
EDUCATORS MUTUAL
UT
01
U006
INTRMTN. HEALTH CARE
UT
Enumeration date
01/18/2006
Last updated
05/27/2022
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