Individual
MIRANDA LEE VAN HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1551 N MAIN ST, PAYSON, UT 84651-5015
(801) 455-2250
Mailing address
465 E HUDSON DR, ELK RIDGE, UT 84651-8536
(801) 455-2250
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5575956-3501
UT
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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