Individual
MS. MICHELE GILLETTE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
4460 S HIGHLAND DR, SLC, UT 84124-3543
(888) 949-4864
Mailing address
4460 S HIGHLAND DR, SLC, UT 84124-3543
(888) 949-4864
(801) 578-8163
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1340603501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800004476
RAILROAD MEDICARE
—
Enumeration date
02/06/2008
Last updated
10/27/2016
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