MYLES DAVIS

SALT LAKE CITY, UT
NPI1356612790
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  9438804-3501)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-01-17
Last Update Date2019-10-11
Business Address
MYLES DAVIS
340 E 100 S
SALT LAKE CITY, UT 84111-1702
Phone number: 801-322-4257
Mailing Address
MYLES DAVIS
5814 S 900 E
MURRAY, UT 84121-1644
Phone number: 385-800-3272