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1104296961
BRIAN MILLER
SALT LAKE CITY, UT
NPI
1104296961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 138584-3501)
Enumeration Date
2015-10-05
Last Update Date
2015-10-05
Business Address
-- BRIAN MILLER LCSW
5770 S 1500 W
SALT LAKE CITY, UT 84123-5216
Phone number: 801-663-7980
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Mailing Address
-- BRIAN MILLER LCSW
1750 E YALE AVE
SALT LAKE CITY, UT 84108-1836
Phone number: 801-608-6581
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