Individual
MIRANDA POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
151 S UNIVERSITY AVE # 1400, PROVO, UT 84601-4427
(801) 851-7118
Mailing address
501 S 600 E APT 905, AMERICAN FORK, UT 84003-4229
(801) 851-0781
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11251847-3502
UT
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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