Individual
ANDREW MINNIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SSW
Contact information
Practice address
1165 E 300 N, PROVO, UT 84606-3539
(801) 360-3575
Mailing address
1165 E 300 N, PROVO, UT 84606-3539
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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