Individual
MIRIAH IKEMIYASHIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 E 4500 S STE 300, MURRAY, UT 84107-4502
(435) 760-9020
Mailing address
12993 S SHAWNEE DR, RIVERTON, UT 84096-7805
(435) 760-9020
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
UT
1041S0200X
School Social Worker
—
UT
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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