Individual
MIRANDA WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5282 S COMMERCE DR, MURRAY, UT 84107-4785
(801) 364-8080
Mailing address
2962 S ADAMS ST, SOUTH SALT LAKE, UT 84115-4002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14185277-6006
UT
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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