Ryan Miller, LCSW
Social Worker, Clinical in Provo, UT. Individual provider (NPI-1).
NPI number1164089074
StatusActive
Last updated in NPPESMay 26, 2019
Details
- NPI
- 1164089074
- Entity type
- Individual (NPI-1)
- Name
- Ryan Miller
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 26, 2019
- Last updated
- May 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6607196-3501 | UT | Yes |
Practice location
5455 River Run DrProvo, UT 84604-7726
Phone 801-234-0653
Mailing address
1054 Huckleberry CirSalem, UT 84653-5691
Phone 801-234-0653
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